Individual provider Active NPI

Laura D Smith, CRNP

  • Family Nurse Practitioner
  • Middletown, PA
National Provider Identifier
1912374067
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015273 Issued in PA
Practice address
1025 W Harrisburg Pike
Middletown, PA 17057-4848
Phone
(717) 944-0491
Fax
(717) 944-1436
NPI assigned
Aug 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP015273 PA Primary
Nurse Practitioner 363L00000X SP015273 PA

Addresses

Primary practice location

1025 W Harrisburg Pike
Middletown, PA 17057-4848

Mailing address

1025 W Harrisburg Pike
Middletown, PA 17057-4848
Phone (717) 944-0491

Other identifiers 1

IdentifierTypeStateIssuer
103065899MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lreilly6877@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150915001631 PA Practitioner - Nurse Practitioner 9931416559 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

1025 W Harrisburg Pike
Family Care at Middletown
Middletown, PA 17057-4848
Phone (717) 944-0491

Hospital & facility affiliations

  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP015273PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Current Accepting new patients
Evangelical Medical Services Organization CurrentSince Jan 17, 2018 Accepting new patients
Evangelical Medical Services Organization Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Sep 1, 2015 Accepting new patients
Pinnacle Health Medical Services CurrentSince Sep 1, 2015 Accepting new patients
Evangelical Medical Services Organization CurrentSince Jan 17, 2018 Accepting new patients
Pinnacle Health Medical Services Nurse Practitioner Past Accepting new patients

Locations

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290

3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771

1 Hospital Dr
Ste 306
Lewisburg, PA 17837
Phone (570) 522-4110

3 Hospital Dr
Ste 214
Lewisburg, PA 17837
Phone (570) 524-4242

1025 W Harrisburg Pike
Middletown, PA 17057
Phone (717) 702-1135

300 Bretz Ct
Ste 100
Newport, PA 17074
Phone (717) 567-3174

Interoperability endpoints

  • Direct secure messaging: lsmith303844@upmc.direct-ci.com

Organizations & group practices 7

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 7

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": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1912374067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W HARRISBURG PIKE",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170574848",
            "telephone_number": "717-944-0491",
            "fax_number": "717-944-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W HARRISBURG PIKE",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170574848",
            "telephone_number": "717-944-0491",
            "fax_number": "717-944-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LAURA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015273",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP015273",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103065899",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lreilly6877@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "1025 W Harrisburg Pike",
            "city": "Middletown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170574848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middletown, PA

Sources for this page

Verify at the official NPI Registry.