Sandericka Smith, PMHNP-BC in Jacksonville, AR

Sandericka Smith, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Jacksonville, Arkansas. Her current practice location is 1300 Braden St, Jacksonville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 453-6950.

Sandericka Smith is licensed to practice in Arkansas (license number 230744) 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 1891500922.

Contact Information

	Sandericka Smith, PMHNP-BC
	1300 Braden St, Jacksonville, AR 72076-3719
	(501) 453-6950
	Not Available

Map and Direction

Provider's Profile

Full Name	Sandericka Smith
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1300 Braden St, Jacksonville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891500922
Provider Enumeration Date: 02/07/2025
Last Update Date: 08/12/2025

Medicare PECOS Information:

PECOS PAC ID: 5991225732
Enrollment ID: I20250224000694

Medical Identifiers

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

Identifier	Type	State	Issuer
1891500922	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	230744 (Arkansas)	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. Sandericka Smith allows following entities to bill medicare on her behalf.

Entity Name	White County Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053662890 PECOS PAC ID: 4880688654 Enrollment ID: O20130510000018

Entity Name	Unity Health - Newport
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1508450339 PECOS PAC ID: 2567870678 Enrollment ID: O20220426001259

Entity Name	Supportive Psych Care Of Arkansas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437887437 PECOS PAC ID: 8820474661 Enrollment ID: O20221003001887

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. Sandericka 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
Sandericka Smith, PMHNP-BC 1300 Braden St, Jacksonville, AR 72076-3719 Ph: (501) 453-6950	Sandericka Smith, PMHNP-BC 1300 Braden St, Jacksonville, AR 72076-3719 Ph: (501) 453-6950

Reviews and Comments

Nurse Practitioner Nurses in Jacksonville, AR

Mrs. Candace Suzanne Ashley, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2810 Northeastern Ave, Jacksonville, AR 72076 Phone: 501-992-7046
Ashley Marie Randall, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 216 Chigger Valley Rd, Jacksonville, AR 72076 Phone: 501-650-2041
Rita Margaret Odom, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1400 Braden St, Jacksonville, AR 72076 Phone: 800-893-9698
Destiny Yvonne Frazier, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1012 Puritan Dr, Jacksonville, AR 72076 Phone: 501-313-8119
Whitney Reed, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1110 W Main St, Jacksonville, AR 72076 Phone: 501-982-2108 Fax: 501-982-4951
Ashley Renee Poppy, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 Braden St, Jacksonville, AR 72076 Phone: 501-985-2537
Sue Sullivan, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1409 Braden St, Jacksonville, AR 72076 Phone: 501-982-0576 Fax: 501-982-0041

Sandericka Smith, PMHNP-BC - Medicare Nurse Practitioner in Jacksonville, AR