Individual provider Active NPI

Denene P. Smith, FNP

  • Family Nurse Practitioner
  • Pembroke, NC
National Provider Identifier
1770650749
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201409 Issued in NC
Practice address
923 W 3Rd St
Pembroke, NC 28372-9628
Phone
(910) 775-9027
Fax
(910) 521-8091
NPI assigned
Nov 28, 2006
Last updated
Nov 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201409 NC Primary

Addresses

Primary practice location

923 W 3Rd St
Pembroke, NC 28372-9628

Mailing address

2002 N Cedar St Ste B
Lumberton, NC 28358-3926
Phone (910) 272-3048

Other identifiers 1

IdentifierTypeStateIssuer
7004147MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041025001093 NC Practitioner - Nurse Practitioner 8325009046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians

Practice addresses (Care Compare)

17 Livermore Dr
Pembroke, NC 28372-7282
Phone (910) 522-7220

410 -D S Jones St
Pembroke, NC 28372-7261
Phone (910) 504-8540

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Regional Physician Services CurrentSince Nov 7, 2018 Accepting new patients
Southeastern Regional Physician Services CurrentSince Nov 7, 2018 Accepting new patients
Southeastern Regional Physician Services Current Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Nov 1, 2022 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Nov 1, 2022 Accepting new patients

Locations

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

2002 N Cedar St
#B
Lumberton, NC 28358
Phone (910) 272-3048

395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434

923 W 3rd St
Pembroke, NC 28372
Phone (910) 521-0564

923 W 3rd St
Ste A
Pembroke, NC 28372
Phone (910) 733-0327

923 W 3rd St
Ste B
Pembroke, NC 28372
Phone (910) 775-9027

Interoperability endpoints

  • Direct secure messaging: dsmith1088159@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1770650749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 N CEDAR ST STE B",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583926",
            "telephone_number": "910-272-3048",
            "fax_number": "910-738-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 W 3RD ST",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283729628",
            "telephone_number": "910-775-9027",
            "fax_number": "910-521-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DENENE",
        "middle_name": "P.",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004147",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, NC

Sources for this page

Verify at the official NPI Registry.