Individual provider Active NPI

Mariia Anosova-Smith

  • Nurse Practitioner
  • Hershey, PA
National Provider Identifier
1992312193
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP022488 Issued in PA
Practice address
500 University Dr
Hershey, PA 17033-2360
Phone
(717) 531-8887
NPI assigned
Sep 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP022488 PA
Nurse Practitioner 363L00000X SP022488 PA Primary

Addresses

Primary practice location

500 University Dr
Hershey, PA 17033-2360

Mailing address

207 House Ave Ste 110
Camp Hill, PA 17011-2308
Phone (717) 972-2821

Other practice location 1

4343 Union Deposit Road
Harrisburg, PA 17111-2907
Phone (717) 972-2821

Other practice location 2

1050 Kreider Drive, STe 100
Middletown, PA 17057-3124
Phone (717) 972-2821

Other practice location 3

345 Newberry Commons Drive
Etters, PA 17319-9315
Phone (717) 972-2821

Other practice location 4

75 Evelyn Drive
Millersburg, PA 17061-1258
Phone (717) 972-2821

Other practice location 5

850 Walnut Bottom Road, Ste 103
Carlisle, PA 17013-3615
Phone (717) 972-2821

Other practice location 6

218 S Carlisle Street
New Bloomfield, PA 17068-9556
Phone (717) 972-2821

Other practice location 7

207 House Ave Ste 110
Camp Hill, PA 17011-2308
Phone (717) 972-2821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210414000213 PA Practitioner - Nurse Practitioner 8628486529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

500 Universidy Dr
A410
Hershey, PA 17033-2360
Phone (717) 531-8848

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
56.69
Promoting interoperability
100
Improvement activities
40
Cost
74.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP022488PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physicians Group CurrentSince Dec 5, 2022 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Dec 5, 2022 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
The Milton S. Hershey Medical Center Physicians Group Past Accepting new patients
Valley Kidney Specialists, P.C. PastSince Jun 1, 2022 Accepting new patients

Locations

3025 Market St
Ste B
Camp Hill, PA 17011
Phone (717) 691-1212

500 University Dr
#A4
Hershey, PA 17033
Phone (717) 531-6261

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

2221 Noll Dr
Fl 1
Lancaster, PA 17603
Phone (717) 715-1001

Organizations & group practices 5

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 8

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": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1992312193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 HOUSE AVE STE 110",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112308",
            "telephone_number": "717-972-2821",
            "fax_number": "717-972-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "telephone_number": "717-531-8887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4343 Union Deposit Road",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171112907",
            "country_code": "US",
            "telephone_number": "717-972-2821",
            "fax_number": "717-972-2845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 Kreider Drive, STe 100",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "PA",
            "postal_code": "170573124",
            "country_code": "US",
            "telephone_number": "717-972-2821",
            "fax_number": "717-972-2845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 Newberry Commons Drive",
            "address_purpose": "LOCATION",
            "city": "Etters",
            "state": "PA",
            "postal_code": "173199315",
            "country_code": "US",
            "telephone_number": "717-972-2821",
            "fax_number": "717-972-2845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Evelyn Drive",
            "address_purpose": "LOCATION",
            "city": "Millersburg",
            "state": "PA",
            "postal_code": "170611258",
            "country_code": "US",
            "telephone_number": "717-972-2821",
            "fax_number": "717-972-2845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Walnut Bottom Road, Ste 103",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170133615",
            "country_code": "US",
            "telephone_number": "717-972-2821",
            "fax_number": "717-972-2845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "218 S Carlisle Street",
            "address_purpose": "LOCATION",
            "city": "New Bloomfield",
            "state": "PA",
            "postal_code": "170689556",
            "country_code": "US",
            "telephone_number": "717-972-2821",
            "fax_number": "717-972-2845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 House Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Camp Hill",
            "state": "PA",
            "postal_code": "170112308",
            "country_code": "US",
            "telephone_number": "717-972-2821",
            "fax_number": "717-972-2845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANOSOVA-SMITH",
        "first_name": "MARIIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022488",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP022488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.