MS. AMY GALE SMITH PNP-BC
NPI 1396920971
Nurse Practitioner - Pediatrics in Jackson, MS

Q: What is Amy Smith's NPI number?

The NPI number for Amy Smith is 1396920971. It was assigned to this individual provider in the NPPES registry on January 2, 2008.

Q: What is Amy Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Amy Smith was last updated on June 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since January 02, 2008PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(601) 984-6688(601) 815-3736 Get Directions Write a Review

NPPES record last updated: June 14, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Ms. Amy Gale Smith Pnp-bc NPPES

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

MS. AMY GALE SMITH PNP-BC (NPI 1396920971) is an individual pediatrics provider in Jackson, Mississippi, licensed in Mississippi (R850621) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396920971

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMS. AMY GALE SMITHCredential: PNP-BC

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-6688 · Fax (601) 815-3736

Phone(601) 984-6688

Fax(601) 815-3736

Sole ProprietorNo

Enumeration DateJanuary 2, 2008

Last NPPES UpdateJune 14, 2012

✔ NPI 1396920971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MS · R850621

2500 N STATE ST, Jackson, MS 39216

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Other Identifiers 3

Medicaid01083719MS

Medicare PIN302I503213MS

Medicare PIN302I509142MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health 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 (PECOS)

Ms. Amy Gale Smith Pnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

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.

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)