NPIMap

Individual provider Active NPI

Lana J Smith, C.R.N.P

  • Nurse Practitioner
  • Fairmount City, PA
National Provider Identifier
1780893099
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
VP003329B Issued in PA
Practice address
1323 Brookville St
Fairmount City, PA 16224-1101
Phone
(814) 275-3320
NPI assigned
May 22, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X VP003329B PA Primary

Addresses

Primary practice location

1323 Brookville St
Fairmount City, PA 16224-1101

Mailing address

272 Cottage Hill Rd
Climax, PA 16242-1852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041230000129 PA Practitioner - Nurse Practitioner 3779541248 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Brookville HospitalGroup PAC ID 3072579598, shared by 11 NPIs, 45 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

271 Railroad St
Philipsburg, PA 16866-2300
Phone (814) 342-9701

New Bethlehem
1323 Brookville Street Brookville Fam PRCT
Fairmount City, PA 16224-1101
Phone (814) 275-3320

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brookville Hospital Nurse Practitioner CurrentSince Dec 18, 2015 Accepting new patients
Dubois Regional Medical Center CurrentSince Jun 1, 2017 Accepting new patients
Dubois Regional Medical Center CurrentSince Jun 1, 2017 Accepting new patients
Brookville Hospital Nurse Practitioner CurrentSince Dec 18, 2015 Accepting new patients
Brookville Hospital CurrentSince Dec 1, 2025 Accepting new patients
Brookville Hospital Past Accepting new patients

Locations

100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408

22 Industrial Park Rd
Brookville, PA 15825
Phone (814) 849-0990

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

1323 Brookville St
Fairmount Cty, PA 16224
Phone (814) 275-1169

1323 Brookville St
Ste 30
Fairmount Cty, PA 16224
Phone (814) 275-3320

Interoperability endpoints

  • Direct secure messaging: lsmith2@1285.direct.myezyaccess.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 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780893099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 COTTAGE HILL RD",
            "city": "CLIMAX",
            "state": "PA",
            "postal_code": "162421852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 BROOKVILLE ST",
            "city": "FAIRMOUNT CITY",
            "state": "PA",
            "postal_code": "162241101",
            "telephone_number": "814-275-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LANA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "C.R.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "VP003329B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmount City, PA

Sources for this page

Verify at the official NPI Registry.