JACKIE SMITH ARNP
NPI 1184671638
Nurse Practitioner - Psychiatric/Mental Health in Harrisburg, PA
About Jackie Smith Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKIE SMITH ARNP (NPI 1184671638) is an individual psychiatric/mental health provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (SP030875) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
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
Jackie Smith Arnp 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
2Medicare enrollment records show Jackie Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Harrisburg, PA 17104
- Reassigned Medicare billing, Pennsylvania enrollment
- 30 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Pennsylvania enrollment
- 833 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jackie Smith's NPI number?
The NPI number for Jackie Smith is 1184671638. It was assigned to this individual provider in the NPPES registry on May 30, 2006.
Where is Jackie Smith located?
Jackie Smith practices at 4924 Hamilton Dr, Harrisburg, PA 17109. The listed phone number is (813) 409-7046.
What is Jackie Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jackie Smith enrolled in Medicare?
Yes. Jackie 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 Jackie Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jackie Smith reassigns Medicare benefits to 2 organizations: Connectionspa LLC (Harrisburg, PA) and Grow Healthcare Group PA (Miami, FL). 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 Jackie Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jackie Smith was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jackie Smith, ARNP · NPI 1184671638
Psychiatric/Mental Health physician in Harrisburg, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 30, 2006.
## Identity
- **NPI:** 1184671638 (Entity type: Individual)
- **Enumerated:** May 30, 2006
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** SP030875 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 4924 HAMILTON DR, Harrisburg, PA 17109-3211
- **Phone:** (813) 409-7046
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Connectionspa LLC (NPI 1952141889, Harrisburg, PA); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** July 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1184671638) · Data from the CMS NPPES public registry.