JACKIE SMITH
NPI 1588030688
Nurse Practitioner - Family in Louisville, KY

Active since August 12, 2015PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
215 CENTRAL AVE STE 100, LOUISVILLE, KY 40208(502) 588-8720 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackie Smith NPPES

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

JACKIE SMITH (NPI 1588030688) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3009478) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1588030688
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACKIE SMITH
Location Address215 CENTRAL AVE STE 100Louisville, KY 40208-1450
Mailing AddressPo Box 909Louisville, KY 40201-0909
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 12, 2015
Last NPPES UpdateApril 28, 2022
NPPES CertifiedApril 28, 2022
NPI 1588030688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 3009478
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 3009478 (KY)
215 CENTRAL AVE STE 100, Louisville, KY 40208

Other Identifiers 1

Medicaid7100373600KY

Accepted 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

Jackie Smith 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 ID6608183165
PECOS Enrollment IDI20150915003380
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
73 services35 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
51 services32 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services25 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
23 services15 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

University Of Louisville Hospital

Acute Care Hospitals · Louisville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180141
Location530 South Jackson StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40208 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

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.

Nurse Practitioner (Adult Health)
215 CENTRAL AVE STE 100, SUITE 100
LOUISVILLE, KY 40208
Family Medicine
215 CENTRAL AVE STE 100
LOUISVILLE, KY 40208
Internal Medicine
215 CENTRAL AVE STE 100, JENCARE NEIGHBORHOOD MEDICAL VALLEY STATION, LLC
LOUISVILLE, KY 40208
Social Worker (Clinical)
215 CENTRAL AVE STE 100
LOUISVILLE, KY 40208
Family Medicine
215 CENTRAL AVE STE 100
LOUISVILLE, KY 40208
Nurse Practitioner (Family)
215 CENTRAL AVE STE 100
LOUISVILLE, KY 40208
Internal Medicine
215 CENTRAL AVE STE 100
LOUISVILLE, KY 40208
Family Medicine
215 CENTRAL AVE STE 100
LOUISVILLE, KY 40208

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 Jackie Smith's NPI number?

The NPI number for Jackie Smith is 1588030688. It was assigned to this individual provider in the NPPES registry on August 12, 2015.

Where is Jackie Smith located?

Jackie Smith practices at 215 Central Ave Ste 100, Louisville, KY 40208. The listed phone number is (502) 588-8720.

What is Jackie Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jackie Smith enrolled in Medicare?

Yes. Jackie 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 Jackie Smith accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Jackie 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 Jackie Smith affiliated with any hospitals?

According to CMS data, Jackie Smith is affiliated with Jewish Hospital & St Mary's Healthcare and University Of Louisville Hospital.

When was this NPI record last updated?

The NPPES record for Jackie Smith was last updated on April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.