Active NPI 1790243723 Individual Practitioner Female Practitioner

Jennifer Smith , APRN

Nurse Practitioner - Pediatrics • Melbourne, FL

Professional Overview & Biography Verified Profile Summary

Jennifer Smith, APRN is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Melbourne, FL. Practice services are available at 2120 SARNO RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2120 Sarno Rd

Melbourne, FL 329353084

Telephone 3212416800

Fax 3212416890

Associated Practice Facility / Clinic

🏢 Brevard Health Alliance Inc Facility NPI 1013355726

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Melbourne, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.0 Yrs

State Avg: 10.9 Yrs

Regional Practice Density

20 Specialists

Practicing in Melbourne, FL (1565 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-03

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License FL APRN11018703

Definition to come...

Registered Nurse - Pediatrics

NUCC Taxonomy Code: 163WP0200X

State License GA RN235782

Definition to come...

Secondary Practice Locations

2518 Jimmy Lee Smith Pkwy

Hiram, GA 301412068

Phone: 4706447000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Chad Breznay , PsyD

Psychologist

NPI 1013347277

Doctor of Psychology (Psy.D.)

Christy Powell , APRN

Nurse Practitioner - Family

NPI 1013481050

Advanced Practice Registered Nurse

Dr. Lindsay Rule , DMD

Dentist - General Practice

NPI 1033471255

Doctor of Dental Medicine

Jessica Regan , PA

Physician Assistant

NPI 1033592597

Physician Assistant

Vimari De La Cruz , ARNP, FNP-C

Nurse Practitioner - Family

NPI 1033795760

Advanced Registered Nurse Practitioner, Family Nurse Practitioner (Certified)

Meagan Sumner , PA-C

Physician Assistant

NPI 1043084254

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Practice Location June 28, 2022

Registered at 2120 SARNO RD, MELBOURNE, FL 329353084 (Tel: 3212416800)

📍

Updated Business Mailing Address June 28, 2022

Registered at PO BOX 1137, MELBOURNE, FL 329021137 (Tel: 3219529696)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2022

Registered Nurse (License #RN235782 in GA)

📍

Updated Business Mailing Address June 07, 2022

Registered at 7090 HUNDRED ACRE DR, COCOA, FL 329272967 (Tel: 4783354457)

👤

Provider Name / Credentials Updated June 07, 2022

Recorded as JENNIFER SMITH, APRN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2022

Nurse Practitioner (License #11018703 in FL)

✅

NPI Profile Active March 08, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location March 08, 2019

Registered at 2518 JIMMY LEE SMITH PKWY, HIRAM, GA 301412068 (Tel: 4706447000)

📍

Updated Business Mailing Address March 08, 2019

Registered at 289 HILLCREST DR, HIRAM, GA 301415171 (Tel: 4783354457)

👤

Provider Name / Credentials Updated March 08, 2019

Recorded as JENNIFER SMITH, RN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2019

Registered Nurse (License #RN235782 in GA)

🟢

Initial NPI Registration & Enumeration March 08, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790243723

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 08, 2019

Last Update: August 03, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 1137

Melbourne, FL 329021137

Phone: 3219529696

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.