JOHANNA M SMITH NP
NPI 1326388695
Nurse Practitioner - Adult Health in Port Jefferson Station, NY
About Johanna M Smith Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHANNA M SMITH NP (NPI 1326388695) is an individual adult health provider in Port Jefferson Station, New York, licensed in New York (306296) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Johanna M Smith Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Johanna Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stony Brook, NY 11794
- Reassigned Medicare billing, New York enrollment
- 261 clinicians in this Medicare group
Mount Kisco, NY 10549
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Optum Medical Care PC
- 1,601 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 16
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
John T Mather Memorial Hospital Of Port Jefferson
Acute Care Hospitals · Port Jefferson, NYSuny/Stony Brook University Hospital
Acute Care Hospitals · Stony Brook, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11776 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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT JEFFERSON STATION, NY 11776
PORT JEFFERSON STATION, NY 11776
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 Johanna Smith's NPI number?
The NPI number for Johanna Smith is 1326388695. It was assigned to this individual provider in the NPPES registry on February 25, 2013.
Where is Johanna Smith located?
Johanna Smith practices at 410 Hallock Ave, Port Jefferson Station, NY 11776. The listed phone number is (631) 642-1100.
What is Johanna Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Johanna Smith enrolled in Medicare?
Yes. Johanna 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.
Which organizations bill Medicare for Johanna Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Johanna Smith reassigns Medicare benefits to 2 organizations: Stony Brook Internists, University Faculty Practice Corporation (Stony Brook, NY) and Optum Medical Care, P.C. (Mount Kisco, NY). 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 Johanna Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Johanna Smith affiliated with any hospitals?
According to CMS data, Johanna Smith is affiliated with John T Mather Memorial Hospital Of Port Jefferson and Suny/Stony Brook University Hospital.
When was this NPI record last updated?
The NPPES record for Johanna Smith was last updated on February 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Johanna M Smith, NP · NPI 1326388695
Adult Health physician in Port Jefferson Station, New York. Individual provider, active in the CMS NPPES registry since February 25, 2013.
## Identity
- **NPI:** 1326388695 (Entity type: Individual)
- **Enumerated:** February 25, 2013
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 306296 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 410 HALLOCK AVE, Port Jefferson Station, NY 11776-1232
- **Phone:** (631) 642-1100 · **Fax:** (631) 642-1190
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **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): Stony Brook Internists, University Faculty Practice Corporation (NPI 1215976337, Stony Brook, NY); Optum Medical Care, P.C. (NPI 1982643003, Mount Kisco, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Stony Brook, School Of Medicine, class of 2012
## Record status
- **NPPES last updated:** February 25, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1326388695) · Data from the CMS NPPES public registry.