HEATHER L SMITH CRNP
NPI 1053702217
Nurse Practitioner - Acute Care in Pottsville, PA
About Heather L Smith Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEATHER L SMITH CRNP (NPI 1053702217) is an individual acute care provider in Pottsville, Pennsylvania, licensed in Pennsylvania (SP014577) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, is affiliated with Penn State Health Holy Spirit Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
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
Heather L Smith Crnp 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.
Medicare Billing Reassignments
3Medicare enrollment records show Heather Smith reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pottsville, PA 17901
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,895 clinicians in this Medicare group
Pottsville, PA 17901
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: St Lukes Physician Group Inc
- 2,851 clinicians in this Medicare group
Hershey, PA 17033
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,216 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Penn State Health Holy Spirit Medical Center
Acute Care Hospitals · Camp Hill, PASchuylkill Medical Center - South Jackson Street
Acute Care Hospitals · Pottsville, PALehigh Valley Hospital
Acute Care Hospitals · Allentown, PASt Luke's Miners Memorial Hospital
Acute Care Hospitals · Coaldale, PAMilton S Hershey Medical Center
Acute Care Hospitals · Hershey, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Heather Smith's NPI number?
The NPI number for Heather Smith is 1053702217. It was assigned to this individual provider in the NPPES registry on February 10, 2015.
Where is Heather Smith located?
Heather Smith practices at 48 Tunnel Rd Ste 101, Pottsville, PA 17901. The listed phone number is (570) 622-2245.
What is Heather Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Heather Smith enrolled in Medicare?
Yes. Heather 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 Heather Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Smith reassigns Medicare benefits to 3 organizations: Lehigh Valley Physician Group (Pottsville, PA), St Luke's Physician Group, Inc (Pottsville, PA) and The Milton S Hershey Medical Center Physicians Group (Hershey, PA). 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 Heather Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heather Smith accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Heather 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 Heather Smith affiliated with any hospitals?
According to CMS data, Heather Smith is affiliated with Penn State Health Holy Spirit Medical Center, Schuylkill Medical Center - South Jackson Street, Lehigh Valley Hospital, St Luke's Miners Memorial Hospital and Milton S Hershey Medical Center.
When was this NPI record last updated?
The NPPES record for Heather Smith was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Heather L Smith, CRNP · NPI 1053702217
Acute Care physician in Pottsville, Pennsylvania. Individual provider, active in the CMS NPPES registry since February 10, 2015.
## Identity
- **NPI:** 1053702217 (Entity type: Individual)
- **Enumerated:** February 10, 2015
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** SP014577 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 48 TUNNEL RD STE 101, Pottsville, PA 17901-3875
- **Phone:** (570) 622-2245
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Lehigh Valley Physician Group (NPI 1871355263, Pottsville, PA); St Luke's Physician Group, Inc (NPI 1417815648, Pottsville, PA); The Milton S Hershey Medical Center Physicians Group (NPI 1205801537, Hershey, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** October 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053702217) · Data from the CMS NPPES public registry.