JILLIAN CHRISTINA SMITH – Family Nurse Practitioner, NPI 1265049928

JILLIAN CHRISTINA SMITH is a healthcare provider. based in Richton, Mississippi. specializing in NURSE PRACTITIONER. They hold a License No. 904679 (MS). The NPI Number for JILLIAN CHRISTINA SMITH is 1265049928

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JILLIAN CHRISTINA SMITH
NPI
1265049928
Phone
(601) 791-2101
Address
91570 HIGHWAY 42
Enumeration Date
28 September 2020
Last Update Date
11 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6017352401
Graduation Year
2020 (6 years ago)
PAC ID
8628439494
Group Practice PAC ID
2668457581
Professional Enrollment ID
I20230727000863
Address ID
MS393672566WA951XXDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,586 NURSE PRACTITIONER in MS

Provider Addresses for JILLIAN CHRISTINA SMITH

  • 91570 HIGHWAY 42

    RICHTON, MS 394769708

    Phone: (601) 791-2101

    Type: Location

  • 163 SMITHTOWN BETHEL CHURCH RD

    RICHTON, MS 394769774

    Phone: (601) 791-2101

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $60.

Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.

Last reported payment date: 2024-04-30 • Largest payer in this snapshot: Lilly USA, LLC ($36).

Total Amount

$60

General + Research + Ownership

Payments

3

Total payment records

General Amount

$60

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-27

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230727000863INurse PractitionerMSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 39476)

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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: 2668457581View full group profile
NameSpecialtyState
Nurse PractitionerMS
Nurse PractitionerMS
Physician AssistantMS
Nurse PractitionerMS
Nurse PractitionerMS
Physician AssistantMS
Interventional Cardiology, Cardiovascular Disease (Cardiology)MS
Nurse PractitionerAL
Internal Medicine, Emergency MedicineMS
Family Practice, Sports MedicineMS

Reviews

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Frequently asked questions

How is JILLIAN CHRISTINA SMITH identified in CMS data?
CMS-hosted NPPES data lists JILLIAN CHRISTINA SMITH with NPI 1265049928.
Can I rely on JILLIAN CHRISTINA SMITH being an active provider?
As of the registry snapshot, JILLIAN CHRISTINA SMITH is marked active.
What is JILLIAN CHRISTINA SMITH's primary classification?
Family Nurse Practitioner is the headline specialty for JILLIAN CHRISTINA SMITH here. Clinical services aligned with this taxonomy classification.
Where should I expect JILLIAN CHRISTINA SMITH on a map?
Expect Richton, Mississippi as a primary anchor for JILLIAN CHRISTINA SMITH unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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