Active NPI
Justin Michael Smith, DNP, CNS, CNP
- Family Nurse Practitioner
- River Falls, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 7951-33
- Practice address
- 1617 E Division St
River Falls, WI 54022-1571 - Phone
- (715) 307-6600
- NPI assigned
- Jun 5, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11108 | MN | |
| Registered Nurse | 163W00000X | R-212530-7 | MN | |
| Clinical Nurse Specialist | 364S00000X | 7951-33 | WI | |
| Clinical Nurse Specialist | 364S00000X | 2022030124 | MO | |
| Family Nurse Practitioner | 363LF0000X | 356671 | NY | |
| Clinical Nurse Specialist | 364S00000X | W164201 | IA | |
| Registered Nurse | 163W00000X | 974938 | NY | |
| Family Nurse Practitioner | 363LF0000X | 7951-33 | WI | Primary |
| Clinical Nurse Specialist | 364S00000X | AP61288318 | WA | |
| Clinical Nurse Specialist | 364S00000X | 538 | MN | |
| Registered Nurse | 163W00000X | 185099 | WI | |
| Registered Nurse | 163W00000X | 202207051 | OR | |
| Clinical Nurse Specialist | 364S00000X | 283150 | AZ | |
| Clinical Nurse Specialist | 364S00000X | 202207448CNS-PP | OR |
Addresses
Primary practice location
1617 E Division St
River Falls, WI 54022-1571
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jsmith309616@excellian.direct.allina.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1617 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-212530-7 | MN | MD | Registered Nurse |
| 974938 | NY | MD | Registered Nurse |
| 202207051 | OR | MD | Registered Nurse |
| 185099 | WI | MD | Registered Nurse |
| 11108 | MN | MD | Physician Assistant |
| 356671 | NY | MD | Family Nurse Practitioner |
| 283150 | AZ | MD | Clinical Nurse Specialist |
| W164201 | IA | MD | Clinical Nurse Specialist |
| 538 | MN | MD | Clinical Nurse Specialist |
| 2022030124 | MO | MD | Clinical Nurse Specialist |
| 202207448CNS-PP | OR | MD | Clinical Nurse Specialist |
| AP61288318 | WA | MD | Clinical Nurse Specialist |
| 7951-33 | WI | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| The Lakes Community Health Center, Inc | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| The Lakes Community Health Center, Inc | Current | Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
333 Smith Ave N
#60229
Saint Paul, MN 55102
300 Main St W
Ashland, WI 54806
Phone (715) 685-2200
1002 W Clairemont Ave
Eau Claire, WI 54701
Phone (534) 200-6165
15735 W US Highway 63
Hayward, WI 54843
7665 US Highway 2
Iron River, WI 54847
Phone (715) 372-5001
1629 E Division St
River Falls, WI 54022
Phone (715) 307-6000
1617 E Division St
River Falls, WI 54022
Phone (715) 307-6600
Interoperability endpoints
- jsmith309616@excellian.direct.allina.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 and National Provider Directory roles.
-
- General Practice Physician
- River Falls, WI
- NPI 1407395247
-
- Federally Qualified Health Center (FQHC)
- Iron River, WI
- NPI 1811178825
-
- Clinic/Center
- River Falls, WI
- NPI 1619559663
-
- Federally Qualified Health Center (FQHC)
- White Lake, WI
- NPI 1679983423
-
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- Family Medicine Physician
- Minneapolis, MN
- NPI 1467758813
Hospital & facility affiliations 19
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- River Falls, WI
- NPI 1285691725
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Paul, MN
- NPI 1265474704
Hospital
-
- General Acute Care Hospital
- Saint Paul, MN
- NPI 1457319485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1851820773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071321",
"telephone_number": "612-262-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1617 E DIVISION ST",
"city": "RIVER FALLS",
"state": "WI",
"postal_code": "540221571",
"telephone_number": "715-307-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JUSTIN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DNP, CNS, CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-05",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "11108",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R-212530-7",
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "WI",
"license": "7951-33",
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "MO",
"license": "2022030124",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "356671",
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "IA",
"license": "W164201",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "974938",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "7951-33",
"primary": true
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "WA",
"license": "AP61288318",
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "MN",
"license": "538",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "185099",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "202207051",
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "AZ",
"license": "283150",
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "OR",
"license": "202207448CNS-PP",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jsmith309616@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "1617 E Division St",
"city": "River Falls",
"state": "WI",
"country_code": "US",
"postal_code": "540221571",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in River Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.