Amanda Rose Smith, FNP-C - Medicare Nurse Practitioner in Monticello, MS

Amanda Rose Smith, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Monticello, Mississippi. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southwest Mississippi Regional Medical Center and her current practice location is 1167 E Broad St, Monticello, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 587-1433.

Amanda Rose Smith is licensed to practice in Mississippi (license number 903907) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992324834.

Contact Information

Amanda Rose Smith, FNP-C
1167 E Broad St,
Monticello, MS 39654-7682
(601) 587-1433
(601) 587-1625

Map and Direction




Provider's Profile

Full NameAmanda Rose Smith
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location1167 E Broad St, Monticello, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amanda Rose Smith graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1992324834
  • Provider Enumeration Date: 04/10/2020
  • Last Update Date: 09/16/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9335567445
  • Enrollment ID: I20200922000056

Medical Identifiers

Medical identifiers for Amanda Rose Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992324834NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 903907 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke Home Health ServicesMccomb, MSHome health agency
Lawrence County Hospital CahMonticello, MSHospital
King's Daughters Medical Center-brookhavenBrookhaven, MSHospital
Southwest Ms Regional Medical CenterMccomb, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southwest Mississippi Regional Medical Center519363390765

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amanda Rose Smith allows following entities to bill medicare on her behalf.
Entity NameSouthwest Mississippi Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245289172
PECOS PAC ID: 5193633907
Enrollment ID: O20080512000089

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Rose Smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amanda Rose Smith, FNP-C
Po Box 490,
Mccomb, MS 39649-0490

Ph: (601) 249-2701
Amanda Rose Smith, FNP-C
1167 E Broad St,
Monticello, MS 39654-7682

Ph: (601) 587-1433

Reviews and Comments


Nurse Practitioner Nurses in Monticello, MS

Mrs. Rebecca Hussey Burris, C.F.N.P.
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Practice Location: 827 F. E. Sellers Highway, Monticello, MS 39654
Phone: 601-587-4648    Fax: 601-587-0613
Becky Jan Mercier, RN, CFNP
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Genie B Vaughan, RN, CFNP
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Phone: 601-825-7280    Fax: 601-825-8130
Kelly Ervin Hoskins, NURSE PRACTITIONER
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Practice Location: 314 Main St Ste B, Monticello, MS 39654
Phone: 601-393-1953    Fax: 601-393-1954

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.