Melinda Michele Smith, DNP, PMHNP, ACNS

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

20210443385 Issued in MO

Practice address

5669 Delmar Blvd
Saint Louis, MO 63112-2615

Phone

(314) 531-1770

Fax

(314) 241-1185

NPI assigned

Aug 9, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH, MO2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Betty Jean Kerr Peoples Health CentersGroup PAC ID 5991618837, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melinda.smith.p2@direct.phcenters.nextgenshare.com

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.

• Betty Jean Kerr People'S Health Centers

  • Federally Qualified Health Center (FQHC)
  • Saint Louis, MO
  • NPI 1194797787
  Medicare reassignment Care Compare group NPD
• Betty Jean Kerr People'S Health Centers

  • Community/Behavioral Health Agency
  • Saint Louis, MO
  • NPI 1679604318
  Medicare reassignment NPD
• Little Hills Healthcare, LLC

  • Psychiatric Hospital
  • Saint Charles, MO
  • NPI 1659364206
  Medicare reassignment NPD
• SSM Health Care St Louis

  • Emergency Medicine Physician
  • Fenton, MO
  • NPI 1275586174
  Medicare reassignment NPD
• Family & Community Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Warren, OH
  • NPI 1750607057
  Medicare reassignment NPD
• Psy-Care Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Youngstown, OH
  • NPI 1396705349

  Psychiatric/Mental Health

  Medicare reassignment NPD
• SSM Health Care St. Louis

  • Cardiovascular Disease Physician
  • Bridgeton, MO
  • NPI 1376598599
  NPD
• Family & Community Services, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Kent, OH
  • NPI 1952662108
  NPD
• Psycare, Inc.

  • Community/Behavioral Health Agency
  • Struthers, OH
  • NPI 1104462589
  NPD
• Compass Family and Community Services

  • Community/Behavioral Health Agency
  • Warren, OH
  • NPI 1083054506
  NPD (past)
• Trumbull Mahoning Medical Group, Inc.

  • Internal Medicine Physician
  • Youngstown, OH
  • NPI 1538353883
  NPD (past)

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1831446863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2422 DRY BROOK RD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633854146",
            "telephone_number": "330-501-9448",
            "fax_number": "330-793-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5669 DELMAR BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631122615",
            "telephone_number": "314-531-1770",
            "fax_number": "314-241-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MELINDA",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "DNP, PMHNP, ACNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "OH",
            "license": "COA 13241-NS",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "20210443385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0241705",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark S Smith, P.T., A.T.,C.
• Mark W. Smith, MSW, LCSW
• Mary Elizabeth Smith, AUD
• Matthew Clayton Smith, D.C
• Meggan Michelle Smith, PA-C
• Michael A Smith, M.D.
• Michelle Smith
• Miranda Beth Smith, LCSW
• Miya Alys Smith, MD
• Morton E Smith, MD

• Psychiatric/Mental Health Nurse Practitioner in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.