Samantha Marie Smith, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-78001-032 Issued in KS

Practice address

1306 State St
Augusta, KS 67010-1126

Phone

(316) 775-9191

Fax

(316) 775-0348

NPI assigned

Feb 14, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holy Family Medical IncGroup PAC ID 1658608906, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samantha.smith@237407481626628.direct.elationemr.com
• FHIR API: https://fhir4.healow.com/fhir/r4/HOLYFM

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.

• Holy Family Medical Inc

  • Federally Qualified Health Center (FQHC)
  • Wichita, KS
  • NPI 1215593249

  KS

  Medicare reassignment Care Compare group NPD
• Level LLC

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1982378220

  KS

  Medicare reassignment NPD
• Maria Medical Group, LLC

  • Urgent Care Clinic/Center
  • Wichita, KS
  • NPI 1053740092

  KS

  Medicare reassignment NPD

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1972003184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 STATE ST",
            "city": "AUGUSTA",
            "state": "KS",
            "postal_code": "670101126",
            "telephone_number": "316-775-9191",
            "fax_number": "316-775-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 STATE ST",
            "city": "AUGUSTA",
            "state": "KS",
            "postal_code": "670101126",
            "telephone_number": "316-775-9191",
            "fax_number": "316-775-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-78001-032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandi J. Seachris, M.S., LCPC
• Maria Lyn Shields, PT
• Alyson Renee Smith, D.C.
• Bradley J Smith, PTA
• Edna Karleen Smith, ARNP
• Trisha Smith, B.A.
• Cale Jaret Solomon, PHARMD
• South Central Mental Health Counseling Center, Inc.
• Tanner J Steingard, DPT
• Daniel Andrew Stephens, PT, DPT

• All providers in Augusta, KS
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.