Individual provider Active NPI

Trina Jenae Smith, ARNP

  • Family Nurse Practitioner
  • Mt Pleasant, IA
National Provider Identifier
1952955692
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A154379 Issued in IA
Practice address
407 S White St Ste 103
Mt Pleasant, IA 52641-2263
Phone
(319) 385-6770
NPI assigned
Jul 31, 2019
Last updated
Jul 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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 A154379 IA Primary

Addresses

Primary practice location

407 S White St Ste 103
Mt Pleasant, IA 52641-2263

Mailing address

407 S White St Ste 103
Mt Pleasant, IA 52641-2263
Phone (319) 385-6770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20190920003080 IA Practitioner - Nurse Practitioner 3971833799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry County Soldiers' and Sailors' Memorial HospitalGroup PAC ID 7911893169, shared by 2 NPIs, 12 clinicians
Henry County Health Center IncGroup PAC ID 9638570740, 52 clinicians

Practice addresses (Care Compare)

407 S White St
Mount Pleasant, IA 52641-2263

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A154379IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Health Center Inc CurrentSince Jul 1, 2021 Accepting new patients
Henry County Health Center, Inc. Past Accepting new patients

Locations

407 S White St
Mt Pleasant, IA 52641
Phone (319) 385-6110

407 S White St
Ste 103
Mt Pleasant, IA 52641
Phone (319) 385-6166

111 W Washington St
New London, IA 52645
Phone (319) 367-2241

Organizations & group practices 2

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 2

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": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1952955692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 S WHITE ST STE 103",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526412263",
            "telephone_number": "319-385-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S WHITE ST STE 103",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526412263",
            "telephone_number": "319-385-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TRINA",
        "middle_name": "JENAE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A154379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, IA

Sources for this page

Verify at the official NPI Registry.