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: July 19, 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, is affiliated with Southwest Ms Regional Medical Center, 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, and ordering and referring status from the CMS PECOS system.

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.

Hospital Affiliations CMS Care Compare

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

Southwest Ms Regional Medical Center

Acute Care Hospitals · Mccomb, MS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250097
Location215 Marion Av Box 1307Mccomb, MS 39649 · Pike County
Emergency services Birthing friendly

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 19

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
Nurse Practitioner (Family)
11200 LINCOLN HWY
MOKENA, IL 60448
Nurse Practitioner (Family)
11200 LINCOLN HWY, CVS/MINUTE CLINIC
MOKENA, IL 60448
Clinic/Center
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.

What insurance does Bernetta Smith accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and Molina Healthcare 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.

Is Bernetta Smith affiliated with any hospitals?

According to CMS data, Bernetta Smith is affiliated with Southwest Ms Regional Medical Center.

When was this NPI record last updated?

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