JENNIFER LAUREN SMITH – Obstetrics & Gynecology Nurse Practitioner, NPI 1366003840

JENNIFER LAUREN SMITH is a healthcare provider. based in Provo, Utah. specializing in NURSE PRACTITIONER. They hold a License No. 10226501 (UT). The NPI Number for JENNIFER LAUREN SMITH is 1366003840

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER LAUREN SMITH
NPI
1366003840
Phone
Not provided
Address
838 W 2000 N
Enumeration Date
25 June 2019
Last Update Date
3 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
2163842246
Group Practice PAC ID
0840513552
Professional Enrollment ID
I20250303002589
Address ID
CO800213408BR500XXBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

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Provider Addresses for JENNIFER LAUREN SMITH

  • 838, West 2000 North, Carterville, Provo, Utah County, Utah, 84604, United States

    PROVO, UT 846041245

    Phone:

    Type: Mailing

  • Valley Obstetrics & Gynecology, 585, North 500 West, North Park, Provo, Utah County, Utah, 84601, United States

    PROVO, UT 846011548

    Phone: (801) 374-1801

    Fax: (012) 168-3578

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $134.

Total Amount is formed as General ($134) + Research ($0) + Ownership ($0) = $134.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($58).

Total Amount

$134

General + Research + Ownership

Payments

6

Total payment records

General Amount

$134

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2025-03-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20201009002233INurse PractitionerUTTBD
I20250303002589INurse PractitionerCOTBD

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 84604)

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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: 0840513552View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCO
-CA
-CO
Physician AssistantCO
Hospitalist, Family PracticeCO
-CO
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineCO
O B S T E T R I C S/ G Y N E C O L O G YCO
-CO
-CO

Reviews

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Frequently asked questions

Can I use this page to confirm JENNIFER LAUREN SMITH's NPI?
Yes. JENNIFER LAUREN SMITH is listed with NPI 1366003840 in the public NPI dataset.
Does the file indicate JENNIFER LAUREN SMITH is practicing under active NPI?
Directory data currently reports JENNIFER LAUREN SMITH as active.
What is JENNIFER LAUREN SMITH's specialty?
The listing groups JENNIFER LAUREN SMITH with Obstetrics & Gynecology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does JENNIFER LAUREN SMITH serve?
JENNIFER LAUREN SMITH's listing highlights Provo, Utah; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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