SMITHA BIJU JOHN PMHNP
NPI 1083460216
Nurse Practitioner - Psychiatric/Mental Health in Lake Jackson, TX

Active since April 29, 2024PECOS EnrolledAccepts Medicare Assignment
201 OAK DR S STE 102, LAKE JACKSON, TX 77566(979) 529-9050 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Smitha Biju John Pmhnp NPPES

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

SMITHA BIJU JOHN PMHNP (NPI 1083460216) is an individual psychiatric/mental health provider in Lake Jackson, Texas, licensed in Texas (1156727) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1083460216
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSMITHA BIJU JOHNCredential: PMHNP
Location Address201 OAK DR S STE 102Lake Jackson, TX 77566-5626
Mailing Address63 Ember Branch DrMissouri City, TX 77459-1107 · (864) 208-6320
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 29, 2024
NPPES CertifiedApril 28, 2024
✔ NPI 1083460216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1156727
201 OAK DR S STE 102, Lake Jackson, TX 77566

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

Smitha Biju John Pmhnp 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 ID8325586282
PECOS Enrollment IDI20240811000028
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 Reassignment

Medicare enrollment records show Smitha John reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatric/Mental Health
20242 TARPON BAY LN
Cypress, TX 77433
  • Reassigned Medicare billing, Texas enrollment
  • 5 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 2

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
205 services86 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
193 services101 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77566 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
$88.15 typical visit price
range $57.16 – $172.89
Typical copayment $22.03 (range $14.29 – $43.22)
Most-billed visit code 99203
Established Patient
$100.84 typical visit price
range $18.45 – $141.27
Typical copayment $25.21 (range $4.61 – $35.31)
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.

Other Providers at the Same Location NPPES 2

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

Psychiatry & Neurology (Psychiatry)
201 OAK DR S STE 102
LAKE JACKSON, TX 77566
Psychiatry & Neurology (Psychiatry)
201 OAK DR S STE 102
LAKE JACKSON, TX 77566

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 Smitha John's NPI number?

The NPI number for Smitha John is 1083460216. It was assigned to this individual provider in the NPPES registry on April 29, 2024.

Where is Smitha John located?

Smitha John practices at 201 Oak Dr S Ste 102, Lake Jackson, TX 77566. The listed phone number is (979) 529-9050.

What is Smitha John's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Smitha John enrolled in Medicare?

Yes. Smitha John 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 organization bills Medicare for Smitha John's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Smitha John reassigns Medicare benefits to Sunlight Behavioral Health LLC (Cypress, TX). The 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 Smitha John's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Smitha John accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Harbor Health, Oscar Insurance Company and UnitedHealthcare and 1 other insurer list Smitha John 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.

When was this NPI record last updated?

The NPPES record for Smitha John was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.