Ms Sandra L Smith, APRN, FNP-BC - Medicare Nurse Practitioner in Jacksonville, FL

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Ms Sandra L Smith, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Florida. Her current practice location is 4348 Southpoint Blvd Ste 100, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 281-1915.

Ms Sandra L Smith is licensed to practice in Florida (license number ARNP9477015) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1356342984.

Contact Information

Ms Sandra L Smith, APRN, FNP-BC
4348 Southpoint Blvd Ste 100,
Jacksonville, FL 32216-0903
(904) 281-1915
Not Available

Map and Direction




Provider's Profile

Full NameMs Sandra L Smith
GenderFemale
SpecialityNurse Practitioner - Family
Location4348 Southpoint Blvd Ste 100, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356342984
  • Provider Enumeration Date: 08/04/2005
  • Last Update Date: 10/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7012951734
  • Enrollment ID: I20050614000730

Medical Identifiers

Medical identifiers for Ms Sandra L Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356342984NPI-NPPES
024558600MedicaidFL
2576636MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN.CNP.08269 (Ohio)Secondary
363LF0000XNurse Practitioner - Family COA.08269-NP (Ohio)Secondary
363LP2300XNurse Practitioner - Primary Care COA.08269-NP (Ohio)Secondary
363LP2300XNurse Practitioner - Primary Care ARNP9477015 (Florida)Secondary
363LF0000XNurse Practitioner - Family ARNP9477015 (Florida)Primary

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. Ms Sandra L Smith allows following entities to bill medicare on her behalf.
Entity NameVpa Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932386059
PECOS PAC ID: 9234041948
Enrollment ID: O20031119000596
Entity NameMobile Medical Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689620015
PECOS PAC ID: 5890765481
Enrollment ID: O20040730000013
Entity NameMinuteclinic Diagnostic Of Ohio Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699747303
PECOS PAC ID: 2961425608
Enrollment ID: O20060109001066
Entity NameThe Little Clinic Of Ohio Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982761896
PECOS PAC ID: 7719087584
Enrollment ID: O20070709000336

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. Ms Sandra L 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
Ms Sandra L Smith, APRN, FNP-BC
Po Box 20,
Germantown, OH 45327-0020

Ph: (727) 426-0826		Ms Sandra L Smith, APRN, FNP-BC
4348 Southpoint Blvd Ste 100,
Jacksonville, FL 32216-0903

Ph: (904) 281-1915

Reviews and Comments


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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.