Geneva Gertrude Smith, A.C.N.P.

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

AP2132 Issued in AZ

Practice address

16222 N 59TH Ave
Suite A100
Glendale, AZ 85306-1701

Phone

(623) 334-4000

Fax

(623) 334-4400

NPI assigned

Jun 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Geneva Gertrude Bilderback Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Integrated Pain Consultants LLCGroup PAC ID 4284922204, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ICIFBD

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.

• Integrated Pain Consultants, LLC

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1538612965
  Medicare reassignment Care Compare group NPD
• Honorhealth Ambulatory

  • Hematology & Oncology Physician
  • Scottsdale, AZ
  • NPI 1407050917
  Medicare reassignment Care Compare group
• Ajay Narwani MD PLLC

  • Anesthesiology Physician
  • Gilbert, AZ
  • NPI 1275736829
  Medicare reassignment NPD
• Cai NCP East Mesa JV LLC

  • Cardiovascular Disease Physician
  • Mesa, AZ
  • NPI 1528673092
  Medicare reassignment NPD
• Heart & Vascular Center of Arizona, PLLC

  • Cardiovascular Disease Physician
  • Phoenix, AZ
  • NPI 1255379541
  Medicare reassignment NPD
• Sonoran Spine Center P.C.

  • Orthopaedic Surgery of the Spine Physician
  • Tempe, AZ
  • NPI 1013975333
  Medicare reassignment NPD

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1952340762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 N DOBSON RD",
            "address_2": "STE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241295",
            "telephone_number": "480-496-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16222 N 59TH AVE",
            "address_2": "SUITE A100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061701",
            "telephone_number": "623-334-4000",
            "fax_number": "623-334-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GENEVA",
        "middle_name": "GERTRUDE",
        "credential": "A.C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN132657",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "681651",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP2132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8Y9072",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199155601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199155602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENEVA",
            "last_name": "BILDERBACK",
            "middle_name": "GERTRUDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diamond Smith, BCBA, LBA
• Donnel Tre Lee Smith
• Emerson Blake Smith, SLPA
• Freddie Smith
• Gary A Smith, DDS
• Hannah Smith
• Jami Ann Smith
• Jason Smith
• Jason William Smith
• Jennifer M Smith, D.C

• Acute Care Nurse Practitioner in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Acute Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.

Verify at the official NPI Registry.