Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACKIE SMITH ARNP
NPI 1184671638
Nurse Practitioner - Psychiatric/Mental Health in Harrisburg, PA

Active since May 30, 2006PECOS EnrolledAccepts Medicare Assignment
4924 HAMILTON DR, HARRISBURG, PA 17109(813) 409-7046 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1184671638
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJACKIE SMITHCredential: ARNP
Location Address4924 HAMILTON DRHarrisburg, PA 17109-3211
Mailing AddressPo Box 1289Tampa, FL 33601-1289 · (813) 844-7968 · Fax (813) 844-4049
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 30, 2006
Last NPPES UpdateJuly 22, 2026
NPPES CertifiedJuly 22, 2026
NPI 1184671638 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 PA · SP030875
4924 HAMILTON DR, Harrisburg, PA 17109

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

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.

PECOS PAC ID1254861784
PECOS Enrollment IDI20250212002378
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.

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.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

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 28 days 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.