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JESSICA BIVINS SMITH FNP
NPI 1245869155
Nurse Practitioner in Shelby, NC

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
111 W GROVER ST, SHELBY, NC 28150(980) 487-1900 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2024, Apr 19, 2024, Jun 10, 2022 and 1 more (4 updates tracked since 2020).

About Jessica Bivins Smith Fnp NPPES

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

JESSICA BIVINS SMITH FNP (NPI 1245869155) is an individual nurse practitioner in Shelby, North Carolina, licensed in North Carolina (5013048) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Cleveland, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1245869155
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJESSICA BIVINS SMITHCredential: FNP
Location Address111 W GROVER STShelby, NC 28150-3824
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(980) 487-1900
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 2, 2020
Last NPPES UpdateJuly 15, 20244 updates tracked since enumeration
NPPES CertifiedApril 19, 2024
✔ NPI 1245869155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5013048
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 5013048 (NC)
111 W GROVER ST, Shelby, NC 28150
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11550 Faulk St, Ste 3100Monroe, NC 28112-5086 · Phone (704) 667-3410
Location 2447 McAlister Rd, STE 3200Lincolnton, NC 28092-4114 · Phone (980) 212-6300
Location 310650 Park RdCharlotte, NC 28210-8538 · Phone (704) 667-3840
Location 4100 Medical Park Dr, Ste 210Concord, NC 28025-2948 · Phone (704) 403-6100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Jessica Bivins Smith Fnp 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 ID2961823364
PECOS Enrollment IDI20220729001944
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
86 services31 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
48 services48 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
41 services41 patients
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.
35 services35 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.
32 services31 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Atrium Health Cleveland

Acute Care Hospitals · Shelby, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340021
Location201 E Grover StShelby, NC 28150 · Cleveland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28150 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 18

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

CAROLINAS PHYSICIANS NETWORK INC
Internal Medicine
111 W GROVER ST
SHELBY, NC 28150
Cleveland County (980) 487-1900
FANNY SARAH ALIE-CUSSON MD
Surgery (Vascular Surgery)
111 W GROVER ST
SHELBY, NC 28150
Cleveland County (980) 487-1900
ASHLEY JONES WILLIAMS FNP
Nurse Practitioner (Family)
111 W GROVER ST
SHELBY, NC 28150
Cleveland County (980) 487-1900
MORGAN HAILEY REED PA
Physician Assistant
111 W GROVER ST
SHELBY, NC 28150
Cleveland County (980) 487-1900
STEPHANIE BLANTON PA
Physician Assistant
111 W GROVER ST
SHELBY, NC 28150
Cleveland County (704) 482-1006
MELANIE DAWN ROLLA PA
Physician Assistant
111 W GROVER ST
SHELBY, NC 28150
Cleveland County (980) 487-1900
KATIE LYNN LOVE PA
Physician Assistant
111 W GROVER ST
SHELBY, NC 28150
Cleveland County (980) 487-1900
JONATHAN JONAH MAYL MD
Internal Medicine
111 W GROVER ST
SHELBY, NC 28150
Cleveland County (980) 487-1900

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 Jessica Smith's NPI number?

The NPI number for Jessica Smith is 1245869155. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Jessica Smith located?

Jessica Smith practices at 111 W Grover St, Shelby, NC 28150. The listed phone number is (980) 487-1900.

What is Jessica Smith's specialty?

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

Is Jessica Smith enrolled in Medicare?

Yes. Jessica 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 Jessica Smith accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 4 other insurers list Jessica 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.

Is Jessica Smith affiliated with any hospitals?

According to CMS data, Jessica Smith is affiliated with Atrium Health Cleveland.

When was this NPI record last updated?

The NPPES record for Jessica Smith was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.