Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Chandra Nicole Smith, FNP-C

Individual provider Registered Nurse · NPI 1558878181

Miss. Chandra Nicole Smith, FNP-C is a Nurse Practitioner in Rockford, Illinois. Qualified in 2017, 9 years ago. Practices with Jet Healthcare LLC, a 20-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2018
Specialties on file
3
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

6000 E State Street 1st Fl Promedica Hospice
Rockford, IL 61108
Phone: (815) 977-9251
Fax: (866) 224-1731
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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 277.001193 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041.402882 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209.016769 (IL)

Record details

NPI number1558878181
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJanuary 4, 2018
Last updated in NPPESJuly 20, 2022
Certification dateJuly 20, 2022

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 Jet Healthcare Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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