Jennifer R Smith, FNP - Medicare Nurse Practitioner in Moselle, MS

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Jennifer R Smith, FNP is a medicare enrolled "Nurse Practitioner - Family" in Moselle, Mississippi. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Grayson Creek Medical Clinic Llc and her current practice location is 3 John Everett Rd, Moselle, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 620-9991.

Jennifer R Smith is licensed to practice in Mississippi (license number 904856) 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 1780354217.

Contact Information

Jennifer R Smith, FNP
3 John Everett Rd,
Moselle, MS 39459-9771
(601) 620-9991
(601) 620-7487

Map and Direction




Provider's Profile

Full NameJennifer R Smith
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location3 John Everett Rd, Moselle, 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:
  • Jennifer R Smith graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1780354217
  • Provider Enumeration Date: 09/16/2021
  • Last Update Date: 03/18/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3971857970
  • Enrollment ID: I20211108001701

Medical Identifiers

Medical identifiers for Jennifer R Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780354217NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 904856 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Covington County Hospital CahCollins, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Grayson Creek Medical Clinic Llc11536052333

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. Jennifer R Smith allows following entities to bill medicare on her behalf.
Entity NameArthritis Associates, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588619167
PECOS PAC ID: 2668571720
Enrollment ID: O20070702000022
Entity NameOrange Grove Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831330661
PECOS PAC ID: 6103978721
Enrollment ID: O20090713000442
Entity NamePascagoula Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235442872
PECOS PAC ID: 8527241207
Enrollment ID: O20110318000278
Entity NameHattiesburg Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164805156
PECOS PAC ID: 4981913308
Enrollment ID: O20151024000062
Entity NameMaxem Health Urgent Care Flowood
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174070650
PECOS PAC ID: 9335429422
Enrollment ID: O20161207000648
Entity NameGrayson Creek Medical Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184166035
PECOS PAC ID: 1153605233
Enrollment ID: O20170309001847
Entity NameMaxem Health Urgent Care Magee
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235669136
PECOS PAC ID: 9537419643
Enrollment ID: O20180912000183
Entity NameMaxem Health Urgent Care Mccomb
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235619479
PECOS PAC ID: 6305181959
Enrollment ID: O20181231000649
Entity NameMaxem Health Urgent Care Diberville
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265991608
PECOS PAC ID: 1759624968
Enrollment ID: O20190622000032

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. Jennifer R 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
Jennifer R Smith, FNP
3 John Everett Rd,
Moselle, MS 39459-9771

Ph: (601) 620-9991		Jennifer R Smith, FNP
3 John Everett Rd,
Moselle, MS 39459-9771

Ph: (601) 620-9991

Reviews and Comments


Nurse Practitioner Nurses in Moselle, MS

Lauryn Hicks, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3 John Everett Rd, Moselle, MS 39459
Phone: 601-620-9991    
Mack E Knight, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3 John Everett Rd, Moselle, MS 39459
Phone: 601-620-9991    

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.