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Active NPI 1447095013 Individual Practitioner Female Practitioner

Misty Dawn Smith , NP

Nurse Practitioner • Shiloh, IL

Professional Overview & Biography Verified Profile Summary

Misty Smith, NP is a registered healthcare professional specializing in Nurse Practitioner in Shiloh, IL. Practice services are available at 1179 FORTUNE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1179 Fortune Blvd

Shiloh, IL 622697377

Telephone 6186247300

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Shiloh, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.8 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
9 Specialists

Practicing in Shiloh, IL (4929 Statewide)

Telehealth Adoption Rate
11.1% 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: 2024-06-26
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209028902

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Megan Lesko , NP

Nurse Practitioner - Family

NPI 1023689338

Nurse Practitioner

NPI 1033803671

Doctor of Audiology

Dr. David Lesko , MD

Otolaryngology

NPI 1154858504

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 26, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 26, 2024

Registered at 1179 FORTUNE BLVD, SHILOH, IL 622697377 (Tel: 6186247300)

📍
Updated Business Mailing Address June 26, 2024

Registered at 1500 COLES CT, EDWARDSVILLE, IL 620253203 (Tel: 6186100063)

👤
Provider Name / Credentials Updated June 26, 2024

Recorded as MISTY SMITH, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2024

Nurse Practitioner (License #209028902 in IL)

🟢
Initial NPI Registration & Enumeration June 26, 2024

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: 1447095013
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2024
Last Update: June 26, 2024
Sole Proprietor: No

Mailing Address

1500 Coles Ct

Edwardsville, IL 620253203

Phone: 6186100063

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.