Active NPI
Maisha Jeanette Smith, DNP
- Nurse Practitioner
- Susanville, CA
National Provider Identifier
1871038489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95005773
- Practice address
- 795 Joaquin St
Susanville, CA 96130-3628 - Phone
- (530) 257-2542
- Fax
- (530) 257-1101
- NPI assigned
- Jan 5, 2017
- Last updated
- Feb 18, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95005773 | CA | Primary |
Addresses
Primary practice location
795 Joaquin St
Susanville, CA 96130-3628
Mailing address
795 Joaquin St
Susanville, CA 96130-3628
Phone (530) 257-2542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230502002719 | CA | Order and Referring Only - Nurse Practitioner | 9133404650 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lassen Indian Health Center | Past | Accepting new patients | |
| Banner Lassen Medical Center | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73659
- maisha.smith@lihc.directbygreenway.com
Organizations & group practices 2
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.
-
- Critical Access Hospital
- Susanville, CA
- NPI 1538197231
-
dba Lassen Indian Health Center Pharmacy
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Susanville, CA
- NPI 1053484998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1871038489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "795 JOAQUIN ST",
"city": "SUSANVILLE",
"state": "CA",
"postal_code": "961303628",
"telephone_number": "530-257-2542",
"fax_number": "530-257-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 JOAQUIN ST",
"city": "SUSANVILLE",
"state": "CA",
"postal_code": "961303628",
"telephone_number": "530-257-2542",
"fax_number": "530-257-1101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MAISHA",
"middle_name": "JEANETTE",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-05",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95005773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Susanville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.