NPIMap

Individual provider Active NPI

Jennifer Nicole Smith, PA-C

  • Physician Assistant
  • Marion, NC
National Provider Identifier
1942592324
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-02854 Issued in NC
Practice address
5623 US 221 S
Marion, NC 28752-7028
Phone
(828) 659-9000
NPI assigned
May 4, 2011
Last updated
Oct 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-02854 NC Primary
Medical Physician Assistant 363AM0700X 0010-02854 NC

Addresses

Primary practice location

5623 US 221 S
Marion, NC 28752-7028

Mailing address

1633 Sugar Hill Rd
Marion, NC 28752-5239
Phone (828) 652-7776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110718000599 NC Practitioner - Physician Assistant 7214105295 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians

Practice addresses (Care Compare)

1633 Sugar Hill Rd
Marion, NC 28752-5239
Phone (828) 659-9000

20 W Medical CT
Marion, NC 28752-4968
Phone (828) 659-8049

339 Nebo School Rd
Nebo, NC 28761-6848
Phone (828) 652-6386

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-02854NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Community Anesthesiology Specialists LLC CurrentSince Dec 1, 2018 Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Dec 1, 2018 Accepting new patients
MH Mission Hospital McDowell, LLLP CurrentSince Feb 1, 2019 Accepting new patients
MH Blue Ridge Medical Center, LLLP CurrentSince Oct 1, 2023 Accepting new patients
McDowell Hospital Past Accepting new patients
Mission Community Anesthesiology Specialists LLC Past Accepting new patients
Mission Health Community Multispecialty Providers, LLC Physician Assistant Past Accepting new patients
MH Blue Ridge Medical Center, LLLP Past Accepting new patients

Locations

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

800 Medical Campus Dr
Burnsville, NC 28714
Phone (828) 682-0200

1633 Sugar Hill Rd
Marion, NC 28752
Phone (828) 652-7776

1633 Sugar Hill Rd
Ste 1
Marion, NC 28752
Phone (828) 659-3621

1633 Sugar Hill Rd
Ste 2
Marion, NC 28752
Phone (828) 659-3621

387 US 70 W
Marion, NC 28752
Phone (828) 652-6386

430 Rankin Dr
Marion, NC 28752
Phone (828) 652-2125

472 Rankin Dr
Marion, NC 28752
Phone (828) 652-1400

5623 US 221 S
Marion, NC 28752
Phone (828) 659-9000

339 Nebo School Rd
Nebo, NC 28761
Phone (828) 652-6326

189 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 682-0200

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: jennifersmithpa@direct.msj.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1942592324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 SUGAR HILL RD",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287525239",
            "telephone_number": "828-652-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5623 US 221 S",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287527028",
            "telephone_number": "828-659-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-04",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02854",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-02854",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, NC

Sources for this page

Verify at the official NPI Registry.