Individual provider Active NPI

Denise R Smith, NP

  • Family Nurse Practitioner
  • Connersville, IN
National Provider Identifier
1962920785
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71007638A Issued in IN
Practice address
2025 Virginia Ave., Ste. D
Connersville, IN 47331-2914
Phone
(765) 827-8064
Fax
(765) 825-6999
NPI assigned
Aug 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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 71007638A IN Primary

Addresses

Primary practice location

2025 Virginia Ave., Ste. D
Connersville, IN 47331-2914

Mailing address

1100 Reid Parkway
Medical Staff Service
Richmond, IN 47374-1157
Phone (765) 935-8802

Other names 1

  • Denise R Lykins Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dsmith343177@ReidHealth.direct-ci.com Reid Physician Associates, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20180110000424 IN Practitioner - Nurse Practitioner 3577822956 Reassigns benefits to 2 organizations

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
Neighborhood Health Center, Inc.Group PAC ID 6608139621, 11 clinicians

Practice addresses (Care Compare)

2025 Virginia Ave
Connersville, IN 47331-2971
Phone (765) 827-8064

Hospital & facility affiliations

  • Reid Health Hospital, Richmond, IN, CCN 150048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71007638AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Center CurrentSince Sep 14, 2022 Accepting new patients
Reid Physician Associates, Inc CurrentSince Jul 16, 2019 Accepting new patients
Neighborhood Health Center, Inc. CurrentSince Sep 14, 2022 Accepting new patients
Neighborhood Health Center, Inc. Family Current Accepting new patients
Reid Physician Associates, Inc. CurrentSince Jul 16, 2019 Accepting new patients
Major Hospital Past Accepting new patients

Locations

2025 Virginia Ave
Connersville, IN 47331
Phone (765) 827-8064

1941 Virginia Ave
Connersville, IN 47331
Phone (765) 825-5131

2025 Virginia Ave
Ste D
Connersville, IN 47331
Phone (765) 827-8064

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

101 S 10th St
Richmond, IN 47374
Phone (765) 965-4299

Interoperability endpoints

  • Direct secure messaging: dsmith343177@reidhealth.direct-ci.com
  • Direct secure messaging: dsmith588829@direct.ochin.org
  • FHIR API: https://api.platform.athenahealth.com/21036/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1962920785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PARKWAY",
            "address_2": "MEDICAL STAFF SERVICE",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-935-8802",
            "fax_number": "765-983-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 VIRGINIA AVE., STE. D",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473312914",
            "telephone_number": "765-827-8064",
            "fax_number": "765-825-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DENISE",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007638A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dsmith343177@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "2025 Virginia Ave., Ste. D",
            "city": "Connersville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473312914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "LYKINS",
            "middle_name": "R",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Connersville, IN

Sources for this page

Verify at the official NPI Registry.