Jacqueline Nicole Smith, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3012618 Issued in KY

Practice address

736 N Elm St
Henderson, KY 42420-2938

Phone

(270) 827-4000

Fax

(270) 827-5325

NPI assigned

Aug 22, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Methodist Health, Inc.Group PAC ID 4981508454, 69 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Deaconess Henderson Hospital Hospital, Henderson, KY, CCN 180056
• Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jsmith207359@direct.deaconess.com

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.

• Methodist Health, Inc.

  • Hospitalist Physician
  • Henderson, KY
  • NPI 1679718100

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Deaconess Clinic, Inc

  • Family Medicine Physician
  • Morganfield, KY
  • NPI 1891941688

  Nurse Practitioner

  Medicare reassignment NPD
• Deaconess Clinic Inc

  • Nurse Practitioner
  • Owensboro, KY
  • NPI 1457843815
  NPD
• Methodist Health, Inc.

  • Pain Clinic/Center
  • Henderson, KY
  • NPI 1780249060
  NPD
• Methodist Health, Inc.

  • Obstetrics & Gynecology Physician
  • Henderson, KY
  • NPI 1821076415

  Nurse Practitioner

  NPD
• Deaconess Clinic Inc

  • Pediatrics Physician
  • Washington, IN
  • NPI 1356132310

  Nurse Practitioner

  NPD
• Methodist Health, Inc.

  • General Acute Care Hospital
  • Henderson, KY
  • NPI 1083759633
  NPD (past)

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

• Methodist Health, Inc.

  • General Acute Care Hospital
  • Henderson, KY
  • NPI 1083759633
  Care Compare affiliation
• Deaconess Hospital Inc

  • General Acute Care Hospital
  • Newburgh, IN
  • NPI 1780535427
  Care Compare affiliation
• Deaconess Hospital, Inc.

  • General Acute Care Hospital
  • Evansville, IN
  • NPI 1053361642
  Care Compare affiliation

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1902387665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638706",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452638706",
            "telephone_number": "270-827-7558",
            "fax_number": "270-827-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202938",
            "telephone_number": "270-827-4000",
            "fax_number": "270-827-5325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 Holloway Ln",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "KY",
            "postal_code": "424209290",
            "country_code": "US",
            "telephone_number": "502-759-5448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JACQUELINE",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3012618",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rogelio A. Silva, MD
• Lauren Troutman Simmons, D.M.D.
• Bailey Simone
• Sarah Elizabeth Skinner-Hall, MA, BCBA
• Benjamin Edward Smith, DO
• Laura Emily Smith, RD
• William L. Smith, D.M.D.
• David Lawrence Solomon, L.C.S.W.
• Jennifer A Solsbury Loveall, NP
• Terry L Spainhoward, CONTRACTOR

• Family Nurse Practitioner in Henderson, KY
• Providers in Henderson, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.

Verify at the official NPI Registry.