JEFFREY ALLEN SMITH (PMHNP-BC) – Psychiatric/Mental Health Registered Nurse, NPI 1588290035

JEFFREY ALLEN SMITH (PMHNP-BC) is a healthcare provider. based in Fallon, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 834589 (NV). The NPI Number for JEFFREY ALLEN SMITH (PMHNP-BC) is 1588290035

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY ALLEN SMITH (PMHNP-BC)
NPI
1588290035
Phone
(775) 426-3125
Address
4755 Pasture Road
Enumeration Date
17 March 2020
Last Update Date
12 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8328694818235
Graduation Year
2019 (7 years ago)
PAC ID
4082104781
Group Practice PAC ID
0345573598
Professional Enrollment ID
I20251110002185
Address ID
NV895094982RE639XXRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:6State licenses:3Digital endpointsOther names

2,947 NURSE PRACTITIONER in NV

Provider Addresses for JEFFREY ALLEN SMITH (PMHNP-BC)

  • 4755 Pasture Road

    BLDG 299

    Fallon, NV 894965000

    Phone: (775) 426-3125

    Type: Location

  • Naval Medical Center Portsmouth

    620 John Paul Jones Circle

    Portsmouth, VA 23708

    Phone: (757) 953-5269

    Fax: (757) 953-6907

    Type: Location

  • 101 E ROMANA ST APT 119

    PENSACOLA, FL 325025691

    Phone: (619) 279-3457

    Type: Mailing

  • 6000 W HIGHWAY 98

    PENSACOLA, FL 325120001

    Phone: (850) 505-6073

    Type: Location

  • 10774 BARREL HORSE LN

    RENO, NV 895214564

    Phone: (619) 279-3457

    Type: Mailing

  • 762 GARNET WAY

    FERNLEY, NV 894088446

    Phone: (619) 279-3457

    Type: Location

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-10

PECOS data refreshed: 2026-05-27

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
I20251110002185INurse PractitionerNVTBD

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 89496)

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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: 0345573598View full group profile
NameSpecialtyState
Physician AssistantIL
Nurse PractitionerIN
P S Y C H I A T R YTX
Nurse PractitionerIN
Physician AssistantSC
Nurse PractitionerIN
Nurse PractitionerMO
Physician AssistantSC
Physician AssistantTX
Nurse PractitionerFL

Reviews

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Frequently asked questions

What identifier follows JEFFREY ALLEN SMITH (PMHNP-BC) across health systems?
The NPI 1588290035 uniquely identifies JEFFREY ALLEN SMITH (PMHNP-BC) in U.S. healthcare data.
Does the public listing show JEFFREY ALLEN SMITH (PMHNP-BC) as active?
JEFFREY ALLEN SMITH (PMHNP-BC)'s NPI record reflects an active status in NPPES.
What does the directory say JEFFREY ALLEN SMITH (PMHNP-BC) does?
Insurance directories may phrase it differently, but here JEFFREY ALLEN SMITH (PMHNP-BC) maps to Psychiatric/Mental Health Registered Nurse. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JEFFREY ALLEN SMITH (PMHNP-BC)?
JEFFREY ALLEN SMITH (PMHNP-BC) is associated with Fallon, Nevada in the same public data insurers reference.
Who maintains JEFFREY ALLEN SMITH (PMHNP-BC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.