Felicia Davis-Smith, PMHNP-C
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Joplin, MO
NPI 1891276648 · NPPES record last updated Aug 31, 2024
Key facts
- NPI
- 1891276648
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 2024035797 (MO)
- Practice address
- 2615 Illinois Ave
Joplin, MO 64804-2813 - Phone
- (314) 809-7256
- NPI assigned
- Aug 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Community Mental Health Consultants, Inc
Practice addresses (Care Compare)
815 S Ash St
Nevada, MO 64772-3222
Phone (417) 667-8352
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250108000396 | MO | Practitioner - Nurse Practitioner | 1052849890 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017017764 | MO | MD | Family Nurse Practitioner |
| 2024035797 | MO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Communitty Mental Health Consultants, Inc. | Psychiatric/Mental Health | Current |
Accepting new patients |
| Community Mental Health Consultants, Inc. | Past |
Accepting new patients |
Locations
306 S Independence St
Harrisonville, MO 64701
Phone (816) 380-4010
815 S Ash St
Nevada, MO 64772
Phone (417) 667-8352
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2017017764 | MO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2024035797 | MO | Yes |
Addresses
Primary practice location
2615 Illinois Ave
Joplin, MO 64804-2813
Mailing address
2615 Illinois Ave
Joplin, MO 64804-2813
Phone (314) 809-7256
Other providers in Joplin, MO
- David L. Detar, DDS, PC
- David R Coleman OD LLC
- Aaron David
- Michael D David
- Elloren Neadel Davidson
- Daniel Davis
- Dustin Davis
- Ethan Davis
- Rick Davis
- Robert Milton Davis Jr.
All providers in Joplin, MO · Psychiatric/Mental Health Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.