Elizabeth Ellen Smith, APN, CNNP in Crown Point, IN

Elizabeth Ellen Smith, APN, CNNP is a medicare enrolled "Nurse Practitioner - Neonatal" in Crown Point, Indiana. Her current practice location is 12750 St Francis Dr, Crown Point, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 757-6004.

Elizabeth Ellen Smith is licensed to practice in Indiana (license number 71004643A) 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 1336329820.

Contact Information

	Elizabeth Ellen Smith, APN, CNNP
	12750 St Francis Dr, Crown Point, IN 46307-0264
	(219) 757-6004
	(219) 681-6871

Map and Direction

Provider's Profile

Full Name	Elizabeth Ellen Smith
Gender	Female
Speciality	Nurse Practitioner - Neonatal
Location	12750 St Francis Dr, Crown Point, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336329820
Provider Enumeration Date: 11/13/2007
Last Update Date: 01/15/2024

Medicare PECOS Information:

PECOS PAC ID: 3678898327
Enrollment ID: I20150220001826

Medical Identifiers

Medical identifiers for Elizabeth Ellen Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336329820	NPI	-	NPPES
28142802A	Other	IN	STATE OF INDIANA
71004643B	Other	IN	STATE OF IN
71004643A	Other	IN	STATE OF INDIANA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0000X	Nurse Practitioner - Neonatal	71004643A (Indiana)	Primary
363LN0000X	Nurse Practitioner - Neonatal	209.006805 (Illinois)	Secondary
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	71004643A (Indiana)	Secondary

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. Elizabeth Ellen Smith allows following entities to bill medicare on her behalf.

Entity Name	Franciscan Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486

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. Elizabeth Ellen 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 Address	Practice Location Address
Elizabeth Ellen Smith, APN, CNNP Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800	Elizabeth Ellen Smith, APN, CNNP 12750 St Francis Dr, Crown Point, IN 46307-0264 Ph: (219) 757-6004

Reviews and Comments

Nurse Practitioner Nurses in Crown Point, IN

Nichole Elaine Roberts, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9470 Broadway, Crown Point, IN 46307 Phone: 219-661-3260 Fax: 219-662-3770
James Brown, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 N Main St Ste 304, Crown Point, IN 46307 Phone: 574-546-1900 Fax: 574-546-1999
Mrs. Lydia C Buyco, ADULT NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9330 South Broadway Blvd, Crown Point, IN 46307 Phone: 219-662-5072
Faith A Ornelas, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2050 N Main St Ste C, Crown Point, IN 46307 Phone: 219-662-3300 Fax: 219-662-3301
Anita D Arthur, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2100 N Main St Ste 304, Crown Point, IN 46307 Phone: 574-546-1900 Fax: 574-546-1999
Mrs. Josefina Estrada Offredo, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9330 South Broadway Blvd, Crown Point, IN 46307 Phone: 219-662-5072
Jennifer Lee Virgl, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12750 St Francis Dr, Crown Point, IN 46307 Phone: 219-757-6121 Fax: 219-681-6897

Elizabeth Ellen Smith, APN, CNNP - Medicare Nurse Practitioner in Crown Point, IN