Active NPI
Jillian Faith Smith, FNP
- Family Nurse Practitioner
- Jeffersonville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71013433A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IN2570114 | Other | IN | MEDICARE |
| 300071829 | Medicaid | IN | |
| 7100890880 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 71013433A | IN | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Sellersburg Internal Medicine & Pediatrics | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Norton Clark Physician Practices, LLC | Obstetrics & Gynecology | Current | 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
- https://api.platform.athenahealth.com/2852/brand/1/csg/1/fhir/r4
- 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.
-
- Family Medicine Physician
- Sellersburg, IN
- NPI 1215062971
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1588614994
IN, Obstetrics & Gynecology
-
- Internal Medicine Physician
- Clarksville, IN
- NPI 1083098651
Obstetrics & Gynecology
-
dba Norton Community Medical Associates
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
- Neurological Surgery Physician
- Louisville, KY
- NPI 1922288760
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Floyd
- General Acute Care Hospital
- New Albany, IN
- NPI 1497798847
-
dba Norton Clark Hospital
- General Acute Care Hospital
- Jeffersonville, IN
- NPI 1134186315
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.