Mrs Stephanie D Smith, CFNP - Medicare Nurse Practitioner in Ellisville, MS

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Mrs Stephanie D Smith, CFNP is a medicare enrolled "Nurse Practitioner - Family" in Ellisville, Mississippi. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ocean Springs Urgent Care, Calhoun Medical Clinic Llc, Picayune Urgent Care Clinic, Llc, Raleigh Family Health Clinic Pllc, Orange Grove Urgent Care and her current practice location is 1101 Hwy 11 S, Ellisville, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 477-5770.

Mrs Stephanie D Smith is licensed to practice in Mississippi (license number R865285) 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 1003055005.

Contact Information

Mrs Stephanie D Smith, CFNP
1101 Hwy 11 S,
Ellisville, MS 39437-4443
(601) 477-5770
Not Available

Map and Direction




Provider's Profile

Full NameMrs Stephanie D Smith
GenderFemale
SpecialityNurse Practitioner
Experience17 Years
Location1101 Hwy 11 S, Ellisville, 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:
  • Mrs Stephanie D Smith graduated from nursing school in 2007
  NPI Data:
  • NPI Number: 1003055005
  • Provider Enumeration Date: 02/13/2009
  • Last Update Date: 02/13/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 8820113715
  • Enrollment ID: I20100915000975

Medical Identifiers

Medical identifiers for Mrs Stephanie D Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003055005NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R865285 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
South Central Reg Med CtrLaurel, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ocean Springs Urgent Care024442619521
Calhoun Medical Clinic Llc09415960845
Picayune Urgent Care Clinic, Llc307261217510
Raleigh Family Health Clinic Pllc57999027898
Orange Grove Urgent Care610397872113

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. Mrs Stephanie D Smith allows following entities to bill medicare on her behalf.
Entity NamePicayune Urgent Care Clinic, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780723502
PECOS PAC ID: 3072612175
Enrollment ID: O20070629000243
Entity NameOrange Grove Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831330661
PECOS PAC ID: 6103978721
Enrollment ID: O20090713000442
Entity NameOcean Springs Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871808022
PECOS PAC ID: 0244426195
Enrollment ID: O20101118000444
Entity NamePascagoula Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235442872
PECOS PAC ID: 8527241207
Enrollment ID: O20110318000278
Entity NamePetal Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982908877
PECOS PAC ID: 9133303811
Enrollment ID: O20110404000578
Entity NameRaleigh Family Health Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497173942
PECOS PAC ID: 5799902789
Enrollment ID: O20140815000301
Entity NameHattiesburg Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164805156
PECOS PAC ID: 4981913308
Enrollment ID: O20151024000062
Entity NameCalhoun Medical Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558713511
PECOS PAC ID: 0941596084
Enrollment ID: O20160915001795
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. Mrs Stephanie D 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
Mrs Stephanie D Smith, CFNP
57 Watertank Rd,
Laurel, MS 39443-2954

Ph: (601) 577-1000		Mrs Stephanie D Smith, CFNP
1101 Hwy 11 S,
Ellisville, MS 39437-4443

Ph: (601) 477-5770

Reviews and Comments


Nurse Practitioner Nurses in Ellisville, MS

Jessie Watson, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1203 B Ave, Ellisville, MS 39437
Phone: 601-477-3550    
Marlana Perkins Hedgepeth, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 80 Hal Crocker Rd, Ellisville, MS 39437
Phone: 601-477-2221    Fax: 601-477-2223
Tony Earl Miller, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5192 Highway 11 N, Ellisville, MS 39437
Phone: 604-649-7921    Fax: 601-649-7939
Jeri S England, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 900 S Court St, Ellisville, MS 39437
Phone: 601-477-4104    Fax: 601-399-6254
Mr. Donald Scoggin, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1203 Ave B, Ellisville, MS 39437
Phone: 601-477-8553    Fax: 601-477-9158
Mrs. Lisa Graham Blesse, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1101 Highway 11 S, Ellisville, MS 39437
Phone: 601-477-5795    Fax: 601-477-5895

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.