TANIELLE BREW SMITH M.D.
NPI 1043690894
Family Medicine in Jacksonville, FL

Active since June 08, 2015PECOS EnrolledAccepts Medicare Assignment
3122 NEW BERLIN RD, JACKSONVILLE, FL 32226(904) 633-0340(904) 633-0341 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 31, 2023, Jun 27, 2018 (2 updates tracked since 2018).

About Tanielle Brew Smith M.d. NPPES

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

TANIELLE BREW SMITH M.D. (NPI 1043690894) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (ME129374) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1043690894
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTANIELLE BREW SMITHCredential: M.D.
Location Address3122 NEW BERLIN RDJacksonville, FL 32226-1828
Mailing AddressPo Box 44008Jacksonville, FL 32231-4008 · (904) 633-0340 · Fax (904) 633-0341
Fax(904) 633-0341
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 8, 2015
Last NPPES UpdateMarch 31, 20232 updates tracked since enumeration
NPPES CertifiedMarch 14, 2023
NPI 1043690894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in FL · ME129374 Licensed in FL · TRN 21895
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3122 NEW BERLIN RD, Jacksonville, FL 32226

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tanielle Brew Smith M.d. 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 ID4981970605
PECOS Enrollment IDI20180827001847
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
84 services63 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
47 services43 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
13 services13 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
11 services11 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100001
Location655 W 8th StJacksonville, FL 32209 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32226 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%891 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
15%105 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%164 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
93%325 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
81%325 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
33%325 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
31%325 patients
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 6

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

Nurse Practitioner (Family)
3122 NEW BERLIN RD, UFJAX - DEPT. OF FAMILY MEDICINE
JACKSONVILLE, FL 32226
Pediatrics
3122 NEW BERLIN RD
JACKSONVILLE, FL 32226
Nurse Practitioner (Acute Care)
3122 NEW BERLIN RD
JACKSONVILLE, FL 32226
Family Medicine
3122 NEW BERLIN RD
JACKSONVILLE, FL 32226
Nurse Practitioner (Family)
3122 NEW BERLIN RD
JACKSONVILLE, FL 32226
Family Medicine
3122 NEW BERLIN RD
JACKSONVILLE, FL 32226

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 Tanielle Smith's NPI number?

The NPI number for Tanielle Smith is 1043690894. It was assigned to this individual provider in the NPPES registry on June 8, 2015.

Where is Tanielle Smith located?

Tanielle Smith practices at 3122 New Berlin Rd, Jacksonville, FL 32226. The listed phone number is (904) 633-0340.

What is Tanielle Smith's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tanielle Smith enrolled in Medicare?

Yes. Tanielle 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.

What insurance does Tanielle Smith accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Tanielle Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tanielle Smith affiliated with any hospitals?

According to CMS data, Tanielle Smith is affiliated with Shands Jacksonville.

When was this NPI record last updated?

The NPPES record for Tanielle Smith was last updated on March 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.