MRS. JILL M SMITH APRN
NPI 1396744116
Nurse Practitioner - Family in Wichita, KS
About Mrs. Jill M Smith Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JILL M SMITH APRN (NPI 1396744116) is an individual family provider in Wichita, Kansas, licensed in Kansas (45619) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Jill M Smith Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jill Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wichita, KS 67202
- Reassigned Medicare billing, Kansas enrollment
- 260 clinicians in this Medicare group
Wichita, KS 67206
- Reassigned Medicare billing, Kansas enrollment
- 72 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 67205 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 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WICHITA, KS 67205
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 Jill Smith's NPI number?
The NPI number for Jill Smith is 1396744116. It was assigned to this individual provider in the NPPES registry on July 14, 2005.
Where is Jill Smith located?
Jill Smith practices at 4013 N Ridge Rd Ste 210, Wichita, KS 67205. The listed phone number is (316) 945-7309.
What is Jill Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jill Smith enrolled in Medicare?
Yes. Jill Smith is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jill Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jill Smith reassigns Medicare benefits to 2 organizations: Signify Health Medical Associates Of Kansas LLC (Wichita, KS) and Little Clinic Of Kansas LLC (Wichita, KS). 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 Jill 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 Jill Smith was last updated on January 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mrs. Jill M Smith, APRN · NPI 1396744116
Family physician in Wichita, Kansas. Individual provider, active in the CMS NPPES registry since July 14, 2005.
## Identity
- **NPI:** 1396744116 (Entity type: Individual)
- **Enumerated:** July 14, 2005
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 45619 (Kansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4013 N RIDGE RD, STE 210, Wichita, KS 67205-8860
- **Phone:** (316) 945-7309 · **Fax:** (316) 945-9131
## 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): Signify Health Medical Associates Of Kansas LLC (NPI 1780261701, Wichita, KS); Little Clinic Of Kansas LLC (NPI 1821483132, Wichita, KS) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 2, 2018
- **Other identifiers:** Medicaid 200267830A (KS)
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Source: [NPI Profile](https://npiprofile.com/npi/1396744116) · Data from the CMS NPPES public registry.