Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSICA C SMITH FNP
NPI 1013441484
Nurse Practitioner - Family in Victorville, CA

Active since April 12, 2017PECOS Enrolled
15434 W SAGE ST, VICTORVILLE, CA 92392(760) 843-0506(760) 843-0507 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jessica C Smith Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA C SMITH FNP (NPI 1013441484) is an individual family provider in Victorville, California, licensed in California (95006196) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1013441484
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA C SMITHCredential: FNP
Location Address15434 W SAGE STVictorville, CA 92392-9751
Mailing Address15434 W Sage StVictorville, CA 92392-9751 · (760) 843-0506 · Fax (760) 843-0507
Fax(760) 843-0507
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 12, 2017
Last NPPES UpdateOctober 21, 2026
NPPES CertifiedOctober 21, 2026
✔ NPI 1013441484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95006196
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 95006196 (CA)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 95006196 (CA)
15434 W SAGE ST, Victorville, CA 92392

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica C Smith Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426325424
PECOS Enrollment IDI20170523001250
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Jessica Smith reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
16519 VICTOR ST, SUITE 406
Victorville, CA 92395
  • Reassigned Medicare billing, California enrollment
  • 18 clinicians in this Medicare group
Emergency Medicine
1111 W LA PALMA AVE, EMERGENCY DEPT
Anaheim, CA 92801
  • Reassigned Medicare billing, California enrollment
  • 40 clinicians in this Medicare group
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92392 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%203 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
15434 W SAGE ST
VICTORVILLE, CA 92392
Nurse Practitioner (Psychiatric/Mental Health)
15434 W SAGE ST
VICTORVILLE, CA 92392
Social Worker (Clinical)
15434 W SAGE ST
VICTORVILLE, CA 92392
Nurse Practitioner (Psychiatric/Mental Health)
15434 W SAGE ST
VICTORVILLE, CA 92392
Psychologist (Clinical)
15434 W SAGE ST
VICTORVILLE, CA 92392
Nurse Practitioner (Psychiatric/Mental Health)
15434 W SAGE ST
VICTORVILLE, CA 92392
Nursing Care
15434 W SAGE ST
VICTORVILLE, CA 92392

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Smith's NPI number?

The NPI number for Jessica Smith is 1013441484. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Where is Jessica Smith located?

Jessica Smith practices at 15434 W Sage St, Victorville, CA 92392. The listed phone number is (760) 843-0506.

What is Jessica Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jessica Smith enrolled in Medicare?

Yes. Jessica Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jessica Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Smith reassigns Medicare benefits to 3 organizations: Foothill Behavioral Health Consultants Inc (Victorville, CA), Southland Emergency Medical Associates Inc (Anaheim, CA) and Grow Healthcare Group PC (San Jose, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Smith was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.