Active NPI
Amie Nicole Lopez Smith, APRN, NP-C
- Family Nurse Practitioner
- Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN58771-NP-C
- Practice address
- 501 Morris Street
Camc Trauma Services
Charleston, WV 25301 - Phone
- (304) 388-7859
- Fax
- (304) 388-7890
- NPI assigned
- Nov 16, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN58771-NP-C | WV | Primary |
Addresses
Primary practice location
501 Morris Street
Camc Trauma Services
Charleston, WV 25301
Mailing address
501 Morris Street
Camc Trauma Services
Charleston, WV 25301
Phone (304) 388-7859
Other practice location 1
60 Pine Ridge Road
Scott Depot, WV 25560
Phone (304) 419-1149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- 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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 6TH Ave
Montgomery, WV 25136-2116
Phone (304) 442-5151
4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.94 of 100
- Quality
- 69.71
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.94 of 100
- Quality
- 69.71
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN58771-NP-C | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Area Medical Center, Inc. | Current | Accepting new patients | |
| Montgomery General Hospital, Inc | Current | Accepting new patients | |
| THS Physician Partners Inc | Family | Current | Accepting new patients |
| Montgomery General Hospital, Inc | Current | Accepting new patients | |
| Charleston Area Medical Center Inc | Current | Accepting new patients |
Locations
L3539
Columbus, OH 43260
Phone (304) 414-4800
333 Laidley St
Charleston, WV 25301
Phone (304) 347-6116
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
401 6th Ave
Montgomery, WV 25136
Phone (304) 442-5151
4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800
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.
-
- Critical Access Hospital
- Montgomery, WV
- NPI 1619913647
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
- Rural Health Clinic/Center
- Montgomery, WV
- NPI 1275163644
-
- Multi-Specialty Clinic/Center
- Belpre, OH
- NPI 1588422547
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Charleston, WV
- NPI 1700834553
-
- General Acute Care Hospital
- South Charleston, WV
- NPI 1316925506
-
- Critical Access Hospital
- Montgomery, WV
- NPI 1619913647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1932612629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 MORRIS STREET",
"address_2": "CAMC TRAUMA SERVICES",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "25301",
"telephone_number": "304-388-7859",
"fax_number": "304-388-7890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 MORRIS STREET",
"address_2": "CAMC TRAUMA SERVICES",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "25301",
"telephone_number": "304-388-7859",
"fax_number": "304-388-7890"
}
],
"practiceLocations": [
{
"address_1": "60 Pine Ridge Road",
"address_purpose": "LOCATION",
"city": "Scott Depot",
"state": "WV",
"postal_code": "25560",
"country_code": "US",
"telephone_number": "304-419-1149",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ SMITH",
"first_name": "AMIE",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "APRN, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-16",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "APRN58771-NP-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.