MR. JOSHUA DALE SMITH (FNP) – Nurse Practitioner, NPI 1134588353

MR. JOSHUA DALE SMITH (FNP) is a healthcare provider. based in Kingsport, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 20838 (TN). The NPI Number for MR. JOSHUA DALE SMITH (FNP) is 1134588353

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOSHUA DALE SMITH (FNP)
NPI
1134588353
Phone
(423) 245-3161
Address
430 W RAVINE RD
Enumeration Date
16 February 2016
Last Update Date
31 March 2020

Doctor Profile

Medical School Name
LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
8527357672
Group Practice PAC ID
3274570908
Professional Enrollment ID
I20160513000469
Address ID
VA242281810CL4862XHWYX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for MR. JOSHUA DALE SMITH (FNP)

  • 430 W RAVINE RD

    KINGSPORT, TN 376603868

    Phone: (423) 245-3161

    Fax: (423) 857-8129

    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 17 Open Payments records for all available years, with a total value of $339.

Total Amount is formed as General ($339) + Research ($0) + Ownership ($0) = $339.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($50).

Total Amount

$339

General + Research + Ownership

Payments

17

Total payment records

General Amount

$339

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

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: 2016-05-13

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
I20160513000469INurse PractitionerTNTBD

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
J7328Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg9,57613$0
99212Established patient office or other outpatient visit, 10-19 minutes183121$0
20610Aspiration and/or injection of fluid from large joint17393$0
99213Established patient office or other outpatient visit, 20-29 minutes7063$0
J1040Injection, methylprednisolone acetate, 80 mg5737$0
View full utilization report →

Insurance plans in this area (ZIP 37660)

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Provider's Procedures

MR. JOSHUA DALE SMITH (FNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERTN73140X-ray of fingers, minimum of 2 views1916
NURSE PRACTITIONERTN73630X-ray of foot, minimum of 3 views2718

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: 3274570908View full group profile
NameSpecialtyState
Family PracticeTN
Family PracticeTN
Orthopedic SurgeryTN
Nurse PractitionerTN
Nurse PractitionerKY
Nurse PractitionerTN
Physician AssistantTN
Anesthesiology, Pain ManagementKY
Orthopedic SurgeryTN
Family PracticeTN

Reviews

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Frequently asked questions

Is there an official ID for MR. JOSHUA DALE SMITH (FNP) in U.S. healthcare records?
The official identifier for MR. JOSHUA DALE SMITH (FNP) is NPI 1134588353.
Is MR. JOSHUA DALE SMITH (FNP) still an active registrant?
MR. JOSHUA DALE SMITH (FNP) carries an active NPI according to the public dataset.
What kind of doctor is MR. JOSHUA DALE SMITH (FNP)?
MR. JOSHUA DALE SMITH (FNP) is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Tennessee is MR. JOSHUA DALE SMITH (FNP) registered?
Use Kingsport, Tennessee as the headline location for MR. JOSHUA DALE SMITH (FNP) here.
When was this NPI issued?
Enumeration for MR. JOSHUA DALE SMITH (FNP) is noted as February 16, 2016 where the registry provides it.

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