Anna Louise Smith, ARNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP9368811 Issued in FL

Practice address

16461 Domestic Ave
Fort Myers, FL 33912-6008

Phone

(877) 266-7768

Fax

(603) 952-3900

NPI assigned

Oct 4, 2018

Last updated

Dec 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermacare Senior Solutions LLCGroup PAC ID 7113427006, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dermacareseniorsolutions.annasmith@161629.advancedmd-direct.com

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.

• Dermacare Senior Solutions LLC

  • Nurse Practitioner
  • Lake Mary, FL
  • NPI 1972391357
  Medicare reassignment Care Compare group NPD
• American Mobile Dermatology LLC

  • Specialist
  • Boynton Beach, FL
  • NPI 1821125584
  Medicare reassignment NPD
• Onspot-FL

  dba OnSpot Dermatology

  • Dermatology Physician
  • Fort Myers, FL
  • NPI 1144827577
  NPD

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

• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando Outreach Laboratory

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1841765047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 SPRINGWOOD DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328391317",
            "telephone_number": "407-230-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16461 DOMESTIC AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339126008",
            "telephone_number": "877-266-7768",
            "fax_number": "603-952-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1605 W Fairbanks Ave",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327894603",
            "country_code": "US",
            "telephone_number": "407-975-0200",
            "fax_number": "407-975-0209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "339 Bill France Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "32114",
            "country_code": "US",
            "telephone_number": "386-275-1850",
            "fax_number": "386-275-1853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANNA",
        "middle_name": "LOUISE",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9368811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841765047",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adasia Smith, LMHC
• Allison Tyler Smith
• Amanda Gail Smith, APRN
• Ann Marie Smith, AGPCNP-BC
• Anna Smith, APRN
• Chad Michael Smith, LMHC
• Christina Natale Smith, ARNP
• Dorothy Smith, LCSW
• Gertrud Smith, LMT
• Harold D Smith, R, PH.

• Nurse Practitioner in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.