1. Home
  2. Directory
  3. West Virginia
  4. Charleston
  5. Nurse Practitioner
  6. NPI Profile

JUSTIN ANDREW SMITH APRN-CNP
NPI 1225716376
Nurse Practitioner in Charleston, WV

Active since July 10, 2023PECOS EnrolledAccepts Medicare Assignment
924 CROSS LANES DR, CHARLESTON, WV 25313(304) 776-9872 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justin Andrew Smith Aprn-cnp NPPES

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

JUSTIN ANDREW SMITH APRN-CNP (NPI 1225716376) is an individual nurse practitioner in Charleston, West Virginia, licensed in West Virginia (117094) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1225716376
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJUSTIN ANDREW SMITHCredential: APRN-CNP
Location Address924 CROSS LANES DRCharleston, WV 25313-1315
Mailing Address5102 Staunton Ave SeCharleston, WV 25304-2139 · (304) 859-3106
Phone(304) 776-9872
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 10, 2023
NPPES CertifiedJuly 9, 2023
✔ NPI 1225716376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WV · 117094
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
924 CROSS LANES DR, Charleston, WV 25313
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Justin Andrew Smith Aprn-cnp 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 ID8123481637
PECOS Enrollment IDI20230831001645
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 4

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
257 services120 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.
40 services33 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
28 services28 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
24 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25313 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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 5

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

LESLIE ASBURY APRN, FNP-BC
Nurse Practitioner (Family)
924 CROSS LANES DR
CROSS LANES, WV 25313
Kanawha County (304) 776-9872
MEGAN FERNANDEZ NURSE PRACTITIONER
Nurse Practitioner (Family)
924 CROSS LANES DR
CROSS LANES, WV 25313
Kanawha County (304) 776-9872
TAMMY FRANKLIN APRN
Nurse Practitioner (Family)
924 CROSS LANES DR
CROSS LANES, WV 25313
Kanawha County (304) 776-9872
DR. ASHISH SHETH MD
Internal Medicine
924 CROSS LANES DR, CROSS LANES INTERNAL MEDICINE GROUP INC
CROSS LANES, WV 25313
Kanawha County (304) 776-9872
WV PRIMARY CARE INC
Internal Medicine
924 CROSS LANES DR
CROSS LANES, WV 25313
Kanawha County (304) 776-1046

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 Justin Smith's NPI number?

The NPI number for Justin Smith is 1225716376. It was assigned to this individual provider in the NPPES registry on July 10, 2023.

Where is Justin Smith located?

Justin Smith practices at 924 Cross Lanes Dr, Charleston, WV 25313. The listed phone number is (304) 776-9872.

What is Justin Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Justin Smith enrolled in Medicare?

Yes. Justin 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 Justin Smith accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Justin 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 Justin Smith was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.