HEATHER MARIE SMITH APRN
NPI 1699283382
Nurse Practitioner - Psychiatric/Mental Health in Somerset, KY

Active since January 16, 2018PECOS EnrolledAccepts Medicare Assignment
58.71/100
CMS Quality Rating
200 BELMONT AVE, SOMERSET, KY 42501(606) 687-2038(606) 200-3654 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Jan 16, 2018 (2 updates tracked since 2018).

About Heather Marie Smith Aprn NPPES

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

HEATHER MARIE SMITH APRN (NPI 1699283382) is an individual psychiatric/mental health provider in Somerset, Kentucky, licensed in Kentucky (3012001) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Taylor Regional Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1699283382
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameHEATHER MARIE SMITHCredential: APRN
Location Address200 BELMONT AVESomerset, KY 42501-2419
Mailing AddressPo Box 3044West Somerset, KY 42564-3044 · (606) 687-2038 · Fax (606) 200-3654
Fax(606) 200-3654
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 16, 2018
Last NPPES UpdateJune 8, 20262 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
NPI 1699283382 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 · 3012001
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3012001 (KY)
200 BELMONT AVE, Somerset, KY 42501

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

Heather Marie Smith Aprn 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 ID2466714886
PECOS Enrollment IDI20180323001470
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 9

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
2,038 services154 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
131 services110 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
97 services37 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
74 services11 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
74 services11 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
64 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Taylor Regional Hospital

Acute Care Hospitals · Campbellsville, KY
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number180087
Location1700 Old Lebanon RoadCampbellsville, KY 42718 · Taylor County
Emergency services

Jane Todd Crawford Hospital

Critical Access Hospitals · Greensburg, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181325
Location290 Industrial Park RoadGreensburg, KY 42743 · Green County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42501 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.

58.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality46.44
Improvement Activities40

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%33 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers14 claims14 services$2.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Social Worker (Clinical)
200 BELMONT AVE
SOMERSET, KY 42501
Nurse Practitioner (Psychiatric/Mental Health)
200 BELMONT AVE
SOMERSET, KY 42501
Counselor (Mental Health)
200 BELMONT AVE
SOMERSET, KY 42501
Counselor (Professional)
200 BELMONT AVE
SOMERSET, KY 42501
Nurse Practitioner (Psychiatric/Mental Health)
200 BELMONT AVE
SOMERSET, KY 42501
Social Worker (Clinical)
200 BELMONT AVE
SOMERSET, KY 42501
Counselor (Mental Health)
200 BELMONT AVE
SOMERSET, KY 42501
Nurse Practitioner (Family)
200 BELMONT AVE
SOMERSET, KY 42501

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 Heather Smith's NPI number?

The NPI number for Heather Smith is 1699283382. It was assigned to this individual provider in the NPPES registry on January 16, 2018.

Where is Heather Smith located?

Heather Smith practices at 200 Belmont Ave, Somerset, KY 42501. The listed phone number is (606) 687-2038.

What is Heather Smith's specialty?

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

Is Heather Smith enrolled in Medicare?

Yes. Heather 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 Heather Smith accept?

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

According to CMS data, Heather Smith is affiliated with Taylor Regional Hospital and Jane Todd Crawford Hospital.

When was this NPI record last updated?

The NPPES record for Heather Smith was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.