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MR. THOMAS J SMITH ACNP
NPI 1417566142
Nurse Practitioner - Acute Care in Kirksville, MO

Active since July 28, 2020PECOS EnrolledAccepts Medicare Assignment
803 RENA ST, KIRKSVILLE, MO 63501(660) 342-5295 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Thomas J Smith Acnp NPPES

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

MR. THOMAS J SMITH ACNP (NPI 1417566142) is an individual acute care provider in Kirksville, Missouri, licensed in Missouri (2019045891) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, is affiliated with Hannibal Regional Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1417566142
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. THOMAS J SMITHCredential: ACNP
Location Address803 RENA STKirksville, MO 63501-2012
Mailing Address803 Rena StKirksville, MO 63501-2012 · (660) 342-5295
Phone(660) 342-5295
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 28, 2020
NPPES CertifiedJuly 28, 2020
✔ NPI 1417566142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MO · 2019045891
803 RENA ST, Kirksville, MO 63501
Open in Google Maps ↗

Other Identifiers 1

Other2019045891MO · Missouri State Board Of Nursing Nurse Practitioner License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Insurance Company.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

Mr. Thomas J Smith Acnp 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 ID9234525841
PECOS Enrollment IDI20220407001897
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.

Hospital Affiliations CMS Care Compare 4

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

Hannibal Regional Hospital

Acute Care Hospitals · Hannibal, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260025
Location6000 Hospital DrHannibal, MO 63401 · Marion County
Emergency services Birthing friendly

Moberly Regional Medical Center

Acute Care Hospitals · Moberly, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260074
Location1515 Union AveMoberly, MO 65270 · Randolph County
Emergency services

Sullivan County Memorial Hospital

Critical Access Hospitals · Milan, MO
OwnershipGovernment - Local
CMS Certification Number261306
Location630 West Third StreetMilan, MO 63556 · Sullivan County
Emergency services

Pershing Memorial Hospital

Critical Access Hospitals · Brookfield, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261307
Location130 East LocklingBrookfield, MO 64628 · Linn County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63501 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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 Thomas Smith's NPI number?

The NPI number for Thomas Smith is 1417566142. It was assigned to this individual provider in the NPPES registry on July 28, 2020.

Where is Thomas Smith located?

Thomas Smith practices at 803 Rena St, Kirksville, MO 63501. The listed phone number is (660) 342-5295.

What is Thomas Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Thomas Smith enrolled in Medicare?

Yes. Thomas 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 Thomas Smith accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Company list Thomas 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 Thomas Smith affiliated with any hospitals?

According to CMS data, Thomas Smith is affiliated with Hannibal Regional Hospital, Moberly Regional Medical Center, Sullivan County Memorial Hospital and Pershing Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Smith was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.