JESSICA SMITH (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1336673425

JESSICA SMITH (APRN) is a healthcare provider. based in Lorain, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. RN.396336 (OH). The NPI Number for JESSICA SMITH (APRN) is 1336673425

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA SMITH (APRN)
NPI
1336673425
Phone
(440) 204-4315
Address
6140 S BROADWAY
Enumeration Date
14 April 2017
Last Update Date
20 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4402337232
Graduation Year
2019 (7 years ago)
PAC ID
7719214188
Group Practice PAC ID
1557312535
Professional Enrollment ID
I20190807002502
Address ID
OH440533821LO6140XBROA300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:9State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for JESSICA SMITH (APRN)

  • 6140, South Broadway, Lorain, Lorain County, Ohio, 44053, United States

    LORAIN, OH 440533891

    Phone: (440) 204-4315

    Fax: (440) 204-4315

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 109 Open Payments records for all available years, with a total value of $1,856.

Total Amount is formed as General ($1,856) + Research ($0) + Ownership ($0) = $1,856.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($918).

Total Amount

$1,856

General + Research + Ownership

Payments

109

Total payment records

General Amount

$1,856

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2019-08-07

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
I20190807002502INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes9138$0
99213Established patient office or other outpatient visit, 20-29 minutes7529$0
View full utilization report →

Insurance plans in this area (ZIP 44053)

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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: 1557312535View full group profile
NameSpecialtyState
Clinical Social WorkerOH
P S Y C H I A T R YOH
Mental Health CounselorOH
-OH
Mental Health CounselorOH
Mental Health CounselorOH
P S Y C H I A T R YOH
Nurse PractitionerOH
-OH
Nurse PractitionerOH

Reviews

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Frequently asked questions

How do I look up JESSICA SMITH (APRN) by NPI?
Use NPI 1336673425 when you need to reference JESSICA SMITH (APRN) in forms, claims, or directories.
Is JESSICA SMITH (APRN) currently active in the NPI registry?
CMS-published data lists JESSICA SMITH (APRN) as an active registrant.
Does JESSICA SMITH (APRN) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for JESSICA SMITH (APRN). Clinical services aligned with this taxonomy classification.
Does JESSICA SMITH (APRN) practice in Ohio?
You will see Lorain, Ohio on file for JESSICA SMITH (APRN) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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