JUSTIN ANDREW SMITH APRN-CNP
NPI 1225716376
Nurse Practitioner in Charleston, WV
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.
NPPES Registry Identity
Specialties & Licenses
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)
Justin Andrew Smith Aprn-cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Justin Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cross Lanes, WV 25313
- Reassigned Medicare billing, West Virginia enrollment
- 7 clinicians in this Medicare group
Charleston, WV 25301
- Reassigned Medicare billing, West Virginia enrollment
- 1,511 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.
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.
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.
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.
CROSS LANES, WV 25313
CROSS LANES, WV 25313
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 enrollment system.
Which organizations bill Medicare for Justin Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Smith reassigns Medicare benefits to 2 organizations: Wv Primary Care Inc (Cross Lanes, WV) and Charleston Area Medical Center, Inc. (Charleston, WV). 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 Justin Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Justin Andrew Smith, APRN-CNP · NPI 1225716376
Nurse Practitioner physician in Charleston, West Virginia. Individual provider, active in the CMS NPPES registry since July 10, 2023.
## Identity
- **NPI:** 1225716376 (Entity type: Individual)
- **Enumerated:** July 10, 2023
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 117094 (West Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 924 CROSS LANES DR, Charleston, WV 25313-1315
- **Phone:** (304) 776-9872
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Wv Primary Care Inc (NPI 1821317330, Cross Lanes, WV); Charleston Area Medical Center, Inc. (NPI 1124248752, Charleston, WV) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1225716376) · Data from the CMS NPPES public registry.