Individual provider Active NPI

Jillian Faith Smith, FNP

  • Family Nurse Practitioner
  • Jeffersonville, IN
National Provider Identifier
1891408944
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71013433A Issued in IN
Practice address
301 Gordon Gutmann Blvd Ste 101
Jeffersonville, IN 47130-3765
Phone
(812) 282-4844
Fax
(812) 282-6248
NPI assigned
Jan 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 71013433A IN
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 71013433A IN
Family Nurse Practitioner 363LF0000X 71013433A IN Primary

Addresses

Primary practice location

301 Gordon Gutmann Blvd Ste 101
Jeffersonville, IN 47130-3765

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 559-9337

Other practice location 1

207 Sparks Ave Ste 101
Jeffersonville, IN 47130-3739
Phone (812) 280-7063

Other identifiers 3

IdentifierTypeStateIssuer
IN2570114OtherINMEDICARE
300071829MedicaidIN
7100890880MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL connie.leffler@clarkmemorial.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20230201001038 IN Practitioner - Nurse Practitioner 3870964745 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sellersburg Internal Medicine and PediatricsGroup PAC ID 1850467200, 6 clinicians
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

130 Hunter Station Way
Suite 202
Sellersburg, IN 47172-8932
Phone (812) 248-0800

1373 E State Rd
Madison, IN 47250-7328

301 Gordn Gutmann Blvd
Suite 101
Jeffersonville, IN 47130-3765
Phone (812) 282-4844

4801 Paoli Pike
Suite 201
Floyds Knobs, IN 47119-9695
Phone (812) 923-4700

630 N Broadway St
Madison, IN 47250-7328
Phone (812) 801-0995

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71013433AINMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Sellersburg Internal Medicine & Pediatrics CurrentSince Dec 1, 2025 Accepting new patients
Community Medical Associates, Inc. Obstetrics & Gynecology CurrentSince Apr 1, 2024 Accepting new patients
Norton Clark Physician Practices, LLC Obstetrics & Gynecology CurrentSince Feb 20, 2023 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

11500 Highway 62
Charlestown, IN 47111
Phone (812) 256-0700

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

301 Gordon Gutmann Blvd
Ste 101
Jeffersonville, IN 47130
Phone (812) 282-4844

207 Sparks Ave
Ste 101
Jeffersonville, IN 47130
Phone (812) 280-7063

207 Sparks Ave
Ste 301
Jeffersonvlle, IN 47130
Phone (812) 280-5894

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

1461 N Gardner St
Scottsburg, IN 47170
Phone (812) 282-8494

130 Hunter Station Way
Ste 202
Sellersburg, IN 47172
Phone (812) 248-0800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2852/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jsmith281158@direct.nortonhealthcare.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1891408944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-559-9337",
            "fax_number": "502-272-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GORDON GUTMANN BLVD STE 101",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303765",
            "telephone_number": "812-282-4844",
            "fax_number": "812-282-6248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 Sparks Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471303739",
            "country_code": "US",
            "telephone_number": "812-280-7063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JILLIAN",
        "middle_name": "FAITH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "71013433A",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "IN",
            "license": "71013433A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71013433A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IN2570114",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300071829",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100890880",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "connie.leffler@clarkmemorial.org",
            "affiliation": "N",
            "endpointDescription": "practice office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "207 Sparks Ave Ste 101",
            "city": "Jeffersonville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471303739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.