Individual provider Active NPI

Benjamin Levi Smith, APRN

  • Family Nurse Practitioner
  • Iola, KS
National Provider Identifier
1962063362
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-78768-051 Issued in KS
Practice address
1408 East St
Iola, KS 66749-4402
Phone
(620) 365-3115
NPI assigned
Jun 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 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 53-78768-051 KS Primary

Addresses

Primary practice location

1408 East St
Iola, KS 66749-4402

Mailing address

1408 East St
Iola, KS 66749-4402
Phone (620) 363-4748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20200305001517 KS Practitioner - Nurse Practitioner 6901233857 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
48.28 of 100Reported as group
Quality
21.69
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-78768-051KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coffey County Hospital Current Accepting new patients
Susan B. Allen Memorial Hospital CurrentSince Feb 24, 2024 Accepting new patients
Labette County Medical Center CurrentSince Mar 29, 2023 Accepting new patients
Saint Lukes Hospital of Garnett Inc CurrentSince Sep 1, 2020 Accepting new patients
Susan B. Allen Memorial Hospital Current Accepting new patients
Midwest Pathology Associates LLC Current Accepting new patients
Labette County Medical Center Current Accepting new patients
Saint Lukes Hospital of Garnett Inc CurrentSince Sep 1, 2020 Accepting new patients
Coffey County Hospital CurrentSince Nov 10, 2022 Accepting new patients
Saint Luke'S Hospital of Allen County, Inc CurrentSince Jul 23, 2020 Accepting new patients
Labette County Medical Center CurrentSince Mar 29, 2023 Accepting new patients
Coffey County Hospital CurrentSince Nov 10, 2022 Accepting new patients
Susan B. Allen Memorial Hospital Past Accepting new patients

Locations

801 N 4th St
Burlington, KS 66839
Phone (620) 364-2121

720 W Central Ave
El Dorado, KS 67042
Phone (316) 321-3000

421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105

3066 N Kentucky St
Iola, KS 66749
Phone (620) 365-1000

1902 S US Highway 59
Parsons, KS 67357
Phone (620) 421-4880

1902 S US Highway 59
Bldg A
Parsons, KS 67357
Phone (620) 421-2460

Interoperability endpoints

  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1962063362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 EAST ST",
            "city": "IOLA",
            "state": "KS",
            "postal_code": "667494402",
            "telephone_number": "620-363-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 EAST ST",
            "city": "IOLA",
            "state": "KS",
            "postal_code": "667494402",
            "telephone_number": "620-365-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BENJAMIN",
        "middle_name": "LEVI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-78768-051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iola, KS

Sources for this page

Verify at the official NPI Registry.