Individual provider Active NPI

Brittany Smith, FNP-C

  • Family Nurse Practitioner
  • Cape Girardeau, MO
National Provider Identifier
1912736430
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024030824 Issued in MO
Practice address
2116 Megan Dr Ste 102
Cape Girardeau, MO 63701-1979
Phone
(573) 335-7546
Fax
(573) 335-7550
NPI assigned
Aug 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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 2024030824 MO Primary

Addresses

Primary practice location

2116 Megan Dr Ste 102
Cape Girardeau, MO 63701-1979

Mailing address

2116 Megan Dr Ste 102
Cape Girardeau, MO 63701-1979
Phone (573) 335-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20241009001012 MO Practitioner - Nurse Practitioner 4284165614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Southeast Missouri PCGroup PAC ID 3678612108, 9 clinicians

Practice addresses (Care Compare)

115 E Business US Hwy 60
Dexter, MO 63841-1219
Phone (573) 335-7546

2116 Megan Dr
Suite 102
Cape Girardeau, MO 63701-1727

2116 Megan Dr
Suite 102
Cape Girardeau, MO 63701-1979
Phone (573) 335-7546

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Southeast Missouri PC CurrentSince Oct 1, 2024 Accepting new patients

Locations

2116 Megan Dr
Ste 102
Cpe Girardeau, MO 63701
Phone (573) 335-7546

Organizations & group practices 1

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 1

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": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1912736430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 MEGAN DR STE 102",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637011979",
            "telephone_number": "573-335-7546",
            "fax_number": "573-335-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 MEGAN DR STE 102",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637011979",
            "telephone_number": "573-335-7546",
            "fax_number": "573-335-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRITTANY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024030824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.