BERNETTA SMITH FNP-C
NPI 1619487303
Nurse Practitioner - Family in Mokena, IL

Active since October 07, 2017PECOS EnrolledAccepts Medicare Assignment
11200 LINCOLN HWY, MOKENA, IL 60448(866) 389-2727 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 6, 2025, Apr 13, 2025, Sep 21, 2024 and 2 more (5 updates tracked since 2019).

About Bernetta Smith Fnp-c NPPES

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

BERNETTA SMITH FNP-C (NPI 1619487303) is an individual family provider in Mokena, Illinois, licensed in Illinois (277002660) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1619487303
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBERNETTA SMITHCredential: FNP-C
Location Address11200 LINCOLN HWYMokena, IL 60448-8208
Mailing AddressPo Box 25660Belfast, ME 04915-2007 · (866) 389-2727
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 7, 2017
Last NPPES UpdateMay 6, 20255 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
✔ NPI 1619487303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in IL · 277002660✔ Licensed in AZ · 296925✔ Licensed in WA · AP61342325✔ Licensed in MS · 902046✔ Licensed in TX · AP139320✔ Licensed in CO · C-APN.0004355-C-NP
11200 LINCOLN HWY, Mokena, IL 60448

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bernetta Smith Fnp-c 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 ID5799024246
PECOS Enrollment IDI20250626002011
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

15

Medicare enrollment records show Bernetta Smith reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family
11200 W LINCOLN HWY
Mokena, IL 60448
  • Reassigned Medicare billing, Illinois enrollment
  • 223 clinicians in this Medicare group
Family
11200 LINCOLN HWY
Mokena, IL 60448
  • Reassigned Medicare billing, Illinois enrollment
  • 99 clinicians in this Medicare group
Family
4241 JOHNNY CAKE RIDGE RD
Eagan, MN 55122
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Minuteclinic Diagnostic Of Minnesota PA
  • 89 clinicians in this Medicare group
Family Medicine
1390 N POPLAR FORK RD
Hurricane, WV 25526
  • Reassigned Medicare billing, West Virginia enrollment
  • 27 clinicians in this Medicare group
Urgent Care
4003 COLLEGE AVE, SUITE B
Bluefield, VA 24605
  • Reassigned Medicare billing, Virginia enrollment
  • 156 clinicians in this Medicare group
Rural Health
517 CITY AVE S
Ripley, MS 38663
  • Reassigned Medicare billing, Mississippi enrollment
  • 463 clinicians in this Medicare group
Foot & Ankle Surgery
2116 CHAPEL HILL RD
Hoover, AL 35216
  • Reassigned Medicare billing, Mississippi enrollment
  • 207 clinicians in this Medicare group
Family
7955 TUCKERMAN LN
Rockville, MD 20854
  • Reassigned Medicare billing, Arizona enrollment
  • 163 clinicians in this Medicare group
Family Medicine
11 DAIRY LN
Fredericksburg, VA 22405
  • Reassigned Medicare billing, Virginia enrollment
  • 24 clinicians in this Medicare group
Community/Behavioral Health
570 E WOODROW WILSON AVE
Jackson, MS 39216
  • Reassigned Medicare billing, Mississippi enrollment
  • 54 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 60448 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Nurse Practitioner (Family)
11200 LINCOLN HWY
MOKENA, IL 60448
Pharmacist
11200 LINCOLN HWY
MOKENA, IL 60448
Nurse Practitioner (Family)
11200 LINCOLN HWY
MOKENA, IL 60448
Nurse Practitioner (Family)
11200 LINCOLN HWY
MOKENA, IL 60448
Nurse Practitioner (Family)
11200 LINCOLN HWY
MOKENA, IL 60448
Nurse Practitioner (Family)
11200 LINCOLN HWY
MOKENA, IL 60448
Nurse Practitioner (Family)
11200 LINCOLN HWY
MOKENA, IL 60448
Nurse Practitioner (Family)
11200 LINCOLN HWY
MOKENA, IL 60448

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 Bernetta Smith's NPI number?

The NPI number for Bernetta Smith is 1619487303. It was assigned to this individual provider in the NPPES registry on October 7, 2017.

Where is Bernetta Smith located?

Bernetta Smith practices at 11200 Lincoln Hwy, Mokena, IL 60448. The listed phone number is (866) 389-2727.

What is Bernetta Smith's specialty?

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

Is Bernetta Smith enrolled in Medicare?

Yes. Bernetta 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.

Which organizations bill Medicare for Bernetta Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bernetta Smith reassigns Medicare benefits to 15 organizations: Minuteclinic Diagnostic Of Illinois PLLC (Mokena, IL), Minuteclinic Video Virtual Care North, LLC (Mokena, IL), Minuteclinic Diagnostic Of Minnesota, P.A. (Eagan, MN), Visavis Health Care Medical Group Of Wv PLLC (Hurricane, WV), Medexpress Urgent Care, PC - Virginia (Bluefield, VA) and 10 more organizations, listed in the Medicare section above. 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 Bernetta Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bernetta Smith accept?

Health plans from Anthem Blue Cross and Blue Shield, Molina Healthcare and UnitedHealthcare list Bernetta 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.

When was this NPI record last updated?

The NPPES record for Bernetta Smith was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.