MR. JOHNNY LEE SMITH (APN) – Family Nurse Practitioner, NPI 1104971373

MR. JOHNNY LEE SMITH (APN) is a healthcare provider. based in Jasper, Arkansas. specializing in Family Nurse Practitioner. They hold the professional credentials APN. They hold a License No. A01227 (AR). The NPI Number for MR. JOHNNY LEE SMITH (APN) is 1104971373

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOHNNY LEE SMITH (APN)
NPI
1104971373
Phone
(870) 446-2203
Address
502 WEST COURT
Enumeration Date
25 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1981 (45 years ago)
PAC ID
4688768302
Group Practice PAC ID
5193615896
Professional Enrollment ID
I20070925000552
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MR. JOHNNY LEE SMITH (APN)

  • Coratel Inn & Suites By Jasper McCook, 612, West B Street, Wilcox Trailer Court, McCook, Red Willow County, Nebraska, 69001, United States

    JASPER, AR 72641

    Phone: (870) 446-2203

    Fax: (870) 446-2206

    Type: Location

  • PO BOX 445

    JASPER, AR 726410445

    Phone: (870) 446-2203

    Fax: (870) 446-2206

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72641)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193615896View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OK
Nurse PractitionerAR
Nurse PractitionerAR
-AR
-AR
Nurse PractitionerAR
-AR
Physician AssistantAR
Nurse PractitionerAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

Can I use this page to confirm MR. JOHNNY LEE SMITH (APN)'s NPI?
Yes. MR. JOHNNY LEE SMITH (APN) is listed with NPI 1104971373 in the public NPI dataset.
Is MR. JOHNNY LEE SMITH (APN) still practicing?
MR. JOHNNY LEE SMITH (APN) is currently listed as active in the public NPI registry.
What is MR. JOHNNY LEE SMITH (APN)'s primary classification?
Family Nurse Practitioner is the headline specialty for MR. JOHNNY LEE SMITH (APN) here. Clinical services aligned with this taxonomy classification.
What area does MR. JOHNNY LEE SMITH (APN) serve?
MR. JOHNNY LEE SMITH (APN)'s listing highlights Jasper, Arkansas; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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