JIMMY REECE SMITH
NPI 1629701032
Nurse Practitioner - Psychiatric/Mental Health in Bowling Green, KY

Q: What is Jimmy Smith's NPI number?

The NPI number for Jimmy Smith is 1629701032. It was assigned to this individual provider in the NPPES registry on July 4, 2022.

Q: What is Jimmy Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jimmy Smith was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since July 04, 2022PECOS EnrolledAccepts Medicare Assignment

384 MOUNT EVEREST WAY, BOWLING GREEN, KY 42104(615) 719-0458 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 4, 2024, Oct 11, 2024, Jul 4, 2022 (3 updates tracked since 2022).

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About Jimmy Reece Smith NPPES

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

JIMMY REECE SMITH (NPI 1629701032) is an individual psychiatric/mental health provider in Bowling Green, Kentucky, licensed in Kentucky (4026120) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1629701032

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJIMMY REECE SMITH

Location Address384 MOUNT EVEREST WAYBowling Green, KY 42104-8569

Mailing Address1143 Fairway St Ste 103Bowling Green, KY 42103-2452 · (407) 347-4536

Phone(615) 719-0458

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 4, 2022

Last NPPES UpdateDecember 4, 20243 updates tracked since enumeration

NPPES CertifiedDecember 4, 2024

✔ NPI 1629701032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in KY · 4026120

Also ListedRegistered NurseTaxonomy 163W00000X · License 1099382 (KY)

384 MOUNT EVEREST WAY, Bowling Green, KY 42104

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Other Identifiers 1

Other1099382KY · Ky Board Of Nursing

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Providence Health Plan.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

Jimmy Reece 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 ID5991233678

PECOS Enrollment IDI20250108002641, I20250123001471

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42104 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.

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 Jimmy Smith's NPI number?

The NPI number for Jimmy Smith is 1629701032. It was assigned to this individual provider in the NPPES registry on July 4, 2022.

Where is Jimmy Smith located?

Jimmy Smith practices at 384 Mount Everest Way, Bowling Green, KY 42104. The listed phone number is (615) 719-0458.

What is Jimmy Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jimmy Smith enrolled in Medicare?

Yes. Jimmy 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 Jimmy Smith accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Providence Health Plan list Jimmy 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 Jimmy Smith was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.