Miss Chandra Nicole Smith, FNP-C - Medicare Nurse Practitioner in Rockford, IL

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Miss Chandra Nicole Smith, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Rockford, Illinois. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Jet Healthcare Llc and her current practice location is 6000 E. State Street, 1st Floor Promedica Hospice, Rockford, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 977-9251.

Miss Chandra Nicole Smith is licensed to practice in Illinois (license number 277.001193) 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 1558878181.

Contact Information

Miss Chandra Nicole Smith, FNP-C
6000 E. State Street, 1st Floor Promedica Hospice,
Rockford, IL 61108
(815) 977-9251
(866) 224-1731

Map and Direction




Provider's Profile

Full NameMiss Chandra Nicole Smith
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location6000 E. State Street, Rockford, Illinois
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:
  • Miss Chandra Nicole Smith graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1558878181
  • Provider Enumeration Date: 01/04/2018
  • Last Update Date: 07/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8022361286
  • Enrollment ID: I20181105003475

Medical Identifiers

Medical identifiers for Miss Chandra Nicole Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558878181NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 041.402882 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 209.016769 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 277.001193 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Osf Saint Anthony Medical CenterRockford, ILHospital
Central Dupage HospitalWinfield, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jet Healthcare Llc145678188910

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. Miss Chandra Nicole Smith allows following entities to bill medicare on her behalf.
Entity NameHcr Manorcare Medical Services Of Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386750420
PECOS PAC ID: 2264338532
Enrollment ID: O20050406000847
Entity NameHeartland Hospice Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578516290
PECOS PAC ID: 4789592536
Enrollment ID: O20191001002719
Entity NameLife Balance Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790332815
PECOS PAC ID: 5991131484
Enrollment ID: O20200131000473
Entity NameJet Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265052401
PECOS PAC ID: 1456781889
Enrollment ID: O20200424002398

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. Miss Chandra Nicole 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
Miss Chandra Nicole Smith, FNP-C
6000 E. State Street, 1st Floor Promedica Hospice,
Rockford, IL 61108

Ph: (815) 977-9251		Miss Chandra Nicole Smith, FNP-C
6000 E. State Street, 1st Floor Promedica Hospice,
Rockford, IL 61108

Ph: (815) 977-9251

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).

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