ELIZABETH ELLEN SMITH APN, CNNP
NPI 1336329820
Nurse Practitioner - Neonatal in Crown Point, IN
About Elizabeth Ellen Smith Apn, Cnnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH ELLEN SMITH APN, CNNP (NPI 1336329820) is an individual neonatal provider in Crown Point, Indiana, licensed in Indiana (71004643A) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elizabeth Ellen Smith Apn, Cnnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Elizabeth Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mishawaka, IN 46544
- Reassigned Medicare billing, Indiana enrollment
- 1,396 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 46307 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Elizabeth Smith's NPI number?
The NPI number for Elizabeth Smith is 1336329820. It was assigned to this individual provider in the NPPES registry on November 13, 2007.
Where is Elizabeth Smith located?
Elizabeth Smith practices at 12750 St Francis Dr, Crown Point, IN 46307. The listed phone number is (219) 757-6004.
What is Elizabeth Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.
Is Elizabeth Smith enrolled in Medicare?
Yes. Elizabeth Smith is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Elizabeth Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Smith reassigns Medicare benefits to Franciscan Physician Network (Mishawaka, 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 Elizabeth Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Elizabeth Smith was last updated on January 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.
# Elizabeth Ellen Smith, APN, CNNP · NPI 1336329820
Neonatal physician in Crown Point, Indiana. Individual provider, active in the CMS NPPES registry since November 13, 2007.
## Identity
- **NPI:** 1336329820 (Entity type: Individual)
- **Enumerated:** November 13, 2007
- **Primary specialty:** Nurse Practitioner - Neonatal · taxonomy 363LN0000X
- **State license:** 71004643A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 12750 ST FRANCIS DR, Crown Point, IN 46307-0264
- **Phone:** (219) 757-6004 · **Fax:** (219) 681-6871
## 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:** Franciscan Physician Network (NPI 1366879009, Mishawaka, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 15, 2024
- **Other identifiers:** Other 28142802A (IN); Other 71004643B (IN); Other 71004643A (IN)
---
Source: [NPI Profile](https://npiprofile.com/npi/1336329820) · Data from the CMS NPPES public registry.