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MRS. JESSICA JUNE SMITH RN, BSN, MSN, NP
NPI 1578890323
Nurse Practitioner - Acute Care in Milan, MI

Active since November 13, 2009PECOS Enrolled
12895 DENNISON RD, MILAN, MI 48160(734) 752-7693 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 7, 2022, Apr 30, 2019 (2 updates tracked since 2019).

About Mrs. Jessica June Smith Rn, Bsn, Msn, Np NPPES

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

MRS. JESSICA JUNE SMITH RN, BSN, MSN, NP (NPI 1578890323) is an individual acute care provider in Milan, Michigan, licensed in Michigan (4704253687) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578890323
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. JESSICA JUNE SMITHCredential: RN, BSN, MSN, NP
Location Address12895 DENNISON RDMilan, MI 48160-9594
Mailing Address18103 Cedar Island BlvdBrownstown, MI 48174-9583 · (734) 752-7693
Phone(734) 752-7693
Sole ProprietorYes
Enumeration DateNovember 13, 2009
Last NPPES UpdateNovember 7, 20222 updates tracked since enumeration
NPPES CertifiedNovember 7, 2022
✔ NPI 1578890323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MI · 4704253687
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704253687 (MI)
12895 DENNISON RD, Milan, MI 48160
Open in Google Maps ↗

Other Names 1

Former Name (1)Mrs. Jessica June Pastor

Other Identifiers 1

Medicaid1578890323MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jessica June Smith Rn, Bsn, Msn, Np 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jessica Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Springfield Urgent Care, P.L.L.C.
47 mi
Urgent Care
9749 DIXIE HWY STE B
Clarkston, MI 48348
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Springfield Urgent Care PLLC
  • 31 clinicians in this Medicare group
NPI 1144747460 (248) 942-5888
Emergency Professionals Of Michigan PC
  • Reassigned Medicare billing, Michigan enrollment
  • 163 clinicians in this Medicare group
No phone listed

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 48160 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 Jessica Smith's NPI number?

The NPI number for Jessica Smith is 1578890323. It was assigned to this individual provider in the NPPES registry on November 13, 2009. The provider is also known as Mrs. Jessica June Pastor.

Where is Jessica Smith located?

Jessica Smith practices at 12895 Dennison Rd, Milan, MI 48160. The listed phone number is (734) 752-7693.

What is Jessica Smith's specialty?

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

Is Jessica Smith enrolled in Medicare?

Yes. Jessica Smith is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jessica Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Smith reassigns Medicare benefits to 2 organizations: Springfield Urgent Care, P.L.L.C. (Clarkston, MI) and Emergency Professionals Of Michigan PC (MI). 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 Jessica 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 Jessica Smith was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.