JENNIFER D SMITH FNP
NPI 1063180420
Nurse Practitioner in Brookhaven, MS

Q: What is Jennifer Smith's NPI number?

The NPI number for Jennifer Smith is 1063180420. It was assigned to this individual provider in the NPPES registry on September 1, 2021.

Q: What is Jennifer Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Smith was last updated on September 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since September 01, 2021PECOS EnrolledAccepts Medicare Assignment

1005 W CONGRESS ST, BROOKHAVEN, MS 39601(601) 833-9388(601) 833-9495 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jennifer D Smith Fnp NPPES

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

JENNIFER D SMITH FNP (NPI 1063180420) is an individual nurse practitioner in Brookhaven, Mississippi, licensed in Mississippi (904854) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with King's Daughters Medical Center-brookhaven, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063180420

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJENNIFER D SMITHCredential: FNP

Location Address1005 W CONGRESS STBrookhaven, MS 39601-2603

Mailing Address1005 W Congress StBrookhaven, MS 39601-2603 · (601) 833-9388 · Fax (601) 833-9495

Phone(601) 833-9388

Fax(601) 833-9495

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 1, 2021

NPPES CertifiedSeptember 1, 2021

✔ NPI 1063180420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MS · 904854

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1005 W CONGRESS ST, Brookhaven, MS 39601

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Secondary Practice Locations 2

Location 11005 W Congress StBrookhaven, MS 39601-2603 · Phone (601) 833-9388 · Fax (601) 833-9495

Location 2521 Marion AveMcComb, MS 39648-2009 · Phone (601) 600-2053 · Fax (601) 833-9495

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Jennifer D 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 ID3173912300

PECOS Enrollment IDI20211110000308

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 11

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.

166 services93 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

165 services21 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.

135 services74 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

88 services63 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

74 services16 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

55 services35 patients

Hospital Affiliations CMS Care Compare

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

King's Daughters Medical Center-Brookhaven

Acute Care Hospitals · Brookhaven, MS

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number250057

Location427 Highway 51 NorthBrookhaven, MS 39601 · Lincoln County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39601 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

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Other Providers at the Same Location NPPES 5

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

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Clinic/Center (Primary Care)