Individual provider Active NPI

Jasmine Smith, APRN

  • Family Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1902492283
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11009852 Issued in FL
Practice address
5985 Silver Falls Run Ste 200
Bradenton, FL 34211-1291
Phone
(941) 907-4737
Fax
(941) 907-9493
NPI assigned
Dec 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11009852 FL Primary

Addresses

Primary practice location

5985 Silver Falls Run Ste 200
Bradenton, FL 34211-1291

Mailing address

2819 57TH Dr E
Bradenton, FL 34203-5344
Phone (954) 729-8066

Other identifiers 1

IdentifierTypeStateIssuer
110525000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210430002415 FL Practitioner - Nurse Practitioner 7315356433 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Infusions LLC 102 clinicians

Practice addresses (Care Compare)

2824 University Pkwy
Sarasota, FL 34243-2410
Phone (941) 477-2836

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11009852FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Infusions, LLC CurrentSince May 6, 2024 Accepting new patients
Starling Oncology FL, LLC CurrentSince Apr 30, 2021 Accepting new patients
Innovative Infusions, LLC. CurrentSince May 6, 2024 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Apr 24, 2023 Accepting new patients
Orlando Health, Inc. Current Accepting new patients

Locations

18000 Studebaker Rd
Ste 800
Cerritos, CA 90703

5985 Silver Falls Run
Ste 200
Bradenton, FL 34211
Phone (941) 907-4737

1523 NE Pine Island Rd
Ste 120
Cape Coral, FL 33909
Phone (239) 236-2695

2160 Gulf To Bay Blvd
Clearwater, FL 33765
Phone (727) 387-3092

16431 Corporate Commerce Way
Ste 106
Fort Myers, FL 33913
Phone (239) 722-5022

3702 Washington St
Ste 407
Hollywood, FL 33021
Phone (754) 348-0168

3540 Pine Ridge Rd
Ste 2
Naples, FL 34109
Phone (239) 544-3151

2824 University Pkwy
Sarasota, FL 34243
Phone (941) 477-2836

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

6499 38th Ave N
Ste G1
St Petersburg, FL 33710
Phone (727) 381-3761

Interoperability endpoints

  • Direct secure messaging: jsmith405978@orlandohealth.medalliesdirect.net

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1902492283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 57TH DR E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342035344",
            "telephone_number": "954-729-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5985 SILVER FALLS RUN STE 200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342111291",
            "telephone_number": "941-907-4737",
            "fax_number": "941-907-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JASMINE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110525000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.