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

Brent Tyler Smith, NP

Individual provider Nurse Practitioner · NPI 1376186064

Brent Tyler Smith, NP is a Nurse Practitioner in Wilkes Barre, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Supportive Care of Pennsylvania LLC, a 93-clinician group and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2019
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

150 Mundy St
Wilkes Barre, PA 18702-6830
Phone: (570) 260-6500
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP022819 (PA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence SP002819 (PA)

Record details

NPI number1376186064
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedOctober 24, 2019
Last updated in NPPESJanuary 4, 2026
Certification dateJanuary 4, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Supportive Care Of Pennsylvania Llc — 93 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Wilkes Barre