DR. JILL SUZANNE SMITH MD
NPI 1194864017
Pediatrics in Evansville, IN
About Dr. Jill Suzanne Smith Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JILL SUZANNE SMITH MD (NPI 1194864017) is an individual pediatrics provider in Evansville, Indiana, licensed in Indiana (01066193A) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Evansville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jill Suzanne Smith Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jill Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Evansville, IN 47750
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: St Marys Medical Group LLC
- 288 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 47712 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EVANSVILLE, IN 47712
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 Jill Smith's NPI number?
The NPI number for Jill Smith is 1194864017. It was assigned to this individual provider in the NPPES registry on February 6, 2007.
Where is Jill Smith located?
Jill Smith practices at 100 S Rosenberger Ave Ste B400, Evansville, IN 47712. The listed phone number is (812) 485-1566.
What is Jill Smith's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Jill Smith enrolled in Medicare?
Yes. Jill Smith is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jill Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jill Smith reassigns Medicare benefits to St Mary's Medical Group, LLC (Evansville, IN). 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 Jill Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jill Smith accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Jill 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.
When was this NPI record last updated?
The NPPES record for Jill Smith was last updated on August 10, 2022. 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.
# Dr. Jill Suzanne Smith, MD · NPI 1194864017
Pediatrics physician in Evansville, Indiana. Individual provider, active in the CMS NPPES registry since February 6, 2007.
## Identity
- **NPI:** 1194864017 (Entity type: Individual)
- **Enumerated:** February 6, 2007
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 01066193A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 S ROSENBERGER AVE STE B400, Evansville, IN 47712-6510
- **Phone:** (812) 485-1566
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St Mary's Medical Group, LLC (NPI 1164852539, Evansville, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 10, 2022
- **Other identifiers:** Medicaid 200945890 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1194864017) · Data from the CMS NPPES public registry.