Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bernetta Smith, FNP-C

Individual provider Family Nurse Practitioner · NPI 1619487303

Bernetta Smith, FNP-C is a Nurse Practitioner in Mokena, Illinois. Qualified in 2017, 9 years ago. Practices with Fast Pace Mississippi PLLC, a 189-clinician group and accepts Medicare assignment. Licensed in Arizona, Colorado, Illinois and Mississippi and 2 more.

Years since qualifying
9
Licensed in
AZ, CO, IL, MS, TX, WA
In the registry since
2017
Specialties on file
6
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

11200 Lincoln Hwy
Mokena, IL 60448-8208
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 277002660 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 296925 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP61342325 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 902046 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP139320 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence C-APN.0004355-C-NP (CO)

Record details

NPI number1619487303
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedOctober 7, 2017
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025
Mailing addressPo Box 25660, Belfast, ME 04915-2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Fast Pace Mississippi Pllc — 189 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Mokena