Individual provider Active NPI

Jenifer Elizabeth Smith, CNM

  • Advanced Practice Midwife
  • Bloomsburg, PA
National Provider Identifier
1780246611
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
MW010538 Issued in PA
Practice address
425 E 1St St Ste 101
Bloomsburg, PA 17815-1480
Phone
(570) 387-2474
Fax
(570) 387-2397
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN686248 PA
Advanced Practice Midwife 367A00000X MW010538 PA Primary

Addresses

Primary practice location

425 E 1St St Ste 101
Bloomsburg, PA 17815-1480

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsmith189956@direct.geisinger.edu Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190828002902 PA Practitioner - Certified Nurse Midwife (CNM) 2769710797 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN686248PAMDRegistered Nurse
MW010538PAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Jul 11, 2022 Accepting new patients
Geisinger Clinic CurrentSince Sep 3, 2019 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Geisinger Clinic CurrentSince Sep 3, 2019 Accepting new patients
Valley Health Partners Community Health Center Current Accepting new patients
Geisinger Clinic Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Jul 11, 2022 Accepting new patients
Lehigh Valley Physician Group Past Accepting new patients
Pulmonary Associates PC Past Accepting new patients
Lehigh Valley Hospital Past Accepting new patients

Locations

1611 Pond Rd
Ste 300
Allentown, PA 18104
Phone (610) 398-7700

400 N 17th St
Ste 300
Allentown, PA 18104
Phone (610) 969-3100

1627 Chew St
Fl 1
Allentown, PA 18102
Phone (610) 969-2800

1245 S Cedar Crest Blvd
Ste 201
Allentown, PA 18103
Phone (610) 402-4870

400 N 17th St
Ste 204
Allentown, PA 18104

325 W Broad St
Fl 3
Bethlehem, PA 18018
Phone (484) 626-9250

1665 Valley Center Pkwy
Ste 130
Bethlehem, PA 18017
Phone (610) 317-0208

425 E 1st St
Bloomsburg, PA 17815
Phone (570) 387-2474

425 E 1st St
Ste 101
Bloomsburg, PA 17815
Phone (570) 387-2372

100 N Academy Ave
Danville, PA 17822

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

179 Independence Rd
East Stroudsburg, PA 18301
Phone (570) 421-8526

3701 Corriere Rd
Ste 22
Easton, PA 18045
Phone (484) 591-7170

4807 Freemansburg Ave
Ste 150
Easton, PA 18045
Phone (484) 591-7600

1431 Nursery St
Ste 202
Fogelsville, PA 18051
Phone (484) 273-4377

50 Moisey Dr
Ste 208
Hazle Township, PA 18202
Phone (570) 501-6380

5649 Wynnewood Dr
Ste 102
Laurys Station, PA 18059

237 S Mountain Blvd
Ste 7
Mountain Top, PA 18707
Phone (570) 261-5000

101 W 7th St
Ste 2A
Pennsburg, PA 18073
Phone (215) 257-4866

320 W Pumping Station Rd
Ste 2
Quakertown, PA 18951
Phone (215) 529-4210

6 S Greenview Rd
Schuylkill Haven, PA 17972
Phone (570) 366-3915

600 Commerce Blvd
Stroudsburg, PA 18360
Phone (570) 424-7390

224 Claremont Ave
Tamaqua, PA 18252
Phone (570) 628-2229

6900 Hamilton Blvd
#A
Trexlertown, PA 18087

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1780246611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E 1ST ST STE 101",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178151480",
            "telephone_number": "570-387-2474",
            "fax_number": "570-387-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENIFER",
        "middle_name": "ELIZABETH",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN686248",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW010538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsmith189956@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "425 E 1st St Ste 101",
            "city": "Bloomsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "178151480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomsburg, PA

Sources for this page

Verify at the official NPI Registry.