JENNIFER D SMITH (MSN, APRN,, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1265005615

JENNIFER D SMITH (MSN, APRN,, PMHNP-BC) is a healthcare provider. based in Akron, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN,, PMHNP-BC. They hold a License No. 0029284 (OH). The NPI Number for JENNIFER D SMITH (MSN, APRN,, PMHNP-BC) is 1265005615

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER D SMITH (MSN, APRN,, PMHNP-BC)
NPI
1265005615
Phone
(330) 253-3100
Address
340 S BROADWAY ST
Enumeration Date
22 July 2021
Last Update Date
6 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3306731347
Graduation Year
2021 (5 years ago)
PAC ID
6204234065
Group Practice PAC ID
2769474618
Professional Enrollment ID
I20211007003362
Address ID
OH442408100KE5982XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for JENNIFER D SMITH (MSN, APRN,, PMHNP-BC)

  • 340 S BROADWAY ST

    AKRON, OH 443081529

    Phone: (330) 253-3100

    Type: Mailing

  • 3920 LOVERS LN

    RAVENNA, OH 442664200

    Phone: (330) 673-1347

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-10-16 • Largest payer in this snapshot: RECORDATI_RARE_DISEASES_INC. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-16

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: 2021-10-07

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
I20211007003362INurse PractitionerOHTBD

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 44308)

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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: 2769474618View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for JENNIFER D SMITH (MSN, APRN,, PMHNP-BC)?
JENNIFER D SMITH (MSN, APRN,, PMHNP-BC) — NPI 1265005615 — is the standard way to identify this listing.
Is JENNIFER D SMITH (MSN, APRN,, PMHNP-BC) still practicing?
JENNIFER D SMITH (MSN, APRN,, PMHNP-BC) is currently listed as active in the public NPI registry.
What taxonomy line describes JENNIFER D SMITH (MSN, APRN,, PMHNP-BC)?
For research purposes, treat JENNIFER D SMITH (MSN, APRN,, PMHNP-BC) as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does JENNIFER D SMITH (MSN, APRN,, PMHNP-BC) serve?
JENNIFER D SMITH (MSN, APRN,, PMHNP-BC)'s listing highlights Akron, Ohio; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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