JOHN D SMITH III CRNP
NPI 1114021359
Nurse Practitioner - Acute Care in Gulfport, MS

Active since September 08, 2006PECOS EnrolledAccepts Medicare Assignment
15190 COMMUNITY RD STE 120, GULFPORT, MS 39503(228) 205-6825(228) 831-8782 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John D Smith Iii Crnp NPPES

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

JOHN D SMITH III CRNP (NPI 1114021359) is an individual acute care provider in Gulfport, Mississippi, licensed in Mississippi (R871827) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Singing River Health System, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1114021359
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameJOHN D SMITH IIICredential: CRNP
Location Address15190 COMMUNITY RD STE 120Gulfport, MS 39503-3484
Mailing Address15190 Community Rd Ste 120Gulfport, MS 39503-3484 · (228) 205-6825 · Fax (228) 831-8782
Fax(228) 831-8782
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateSeptember 8, 2006
Last NPPES UpdateJanuary 25, 2024
NPPES CertifiedJanuary 25, 2024
NPI 1114021359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MS · R871827
15190 COMMUNITY RD STE 120, Gulfport, MS 39503

Other Identifiers 2

Medicaid003101732MS
Other5707330001MS · Nsc

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

John D Smith Iii 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.

PECOS PAC ID4789680323
PECOS Enrollment IDI20061004000663
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 13

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 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.
168 services118 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
90 services59 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.
68 services61 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
64 services48 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
48 services35 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
32 services32 patients

Hospital Affiliations CMS Care Compare 2

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

Singing River Health System

Acute Care Hospitals · Pascagoula, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250040
Location2809 Denny AvenuePascagoula, MS 39581 · Jackson County
Emergency services Birthing friendly

Singing River Gulfport

Acute Care Hospitals · Gulfport, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250123
Location15200 Community RoadGulfport, MS 39503 · Harrison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39503 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.

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.

Orthopaedic Surgery
15190 COMMUNITY RD STE 120
GULFPORT, MS 39503
Nurse Practitioner
15190 COMMUNITY RD STE 120
GULFPORT, MS 39503
Orthopaedic Surgery
15190 COMMUNITY RD STE 120
GULFPORT, MS 39503
Physician Assistant
15190 COMMUNITY RD STE 120
GULFPORT, MS 39503
Non-Pharmacy Dispensing Site
15190 COMMUNITY RD STE 120
GULFPORT, MS 39503
Orthopaedic Surgery
15190 COMMUNITY RD STE 120
GULFPORT, MS 39503
Occupational Therapist
15190 COMMUNITY RD STE 120
GULFPORT, MS 39503

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 John Smith's NPI number?

The NPI number for John Smith is 1114021359. It was assigned to this individual provider in the NPPES registry on September 8, 2006.

Where is John Smith located?

John Smith practices at 15190 Community Rd Ste 120, Gulfport, MS 39503. The listed phone number is (228) 205-6825.

What is John Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is John Smith enrolled in Medicare?

Yes. John 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 John Smith accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list John 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 John Smith affiliated with any hospitals?

According to CMS data, John Smith is affiliated with Singing River Health System and Singing River Gulfport.

When was this NPI record last updated?

The NPPES record for John Smith was last updated on January 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.