KAITLYN ANN SMITH
NPI 1003404971
Counselor - Mental Health in Fremont, NE
About Kaitlyn Ann Smith NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAITLYN ANN SMITH (NPI 1003404971) is an individual mental health provider in Fremont, Nebraska, licensed in Nebraska (12444) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kaitlyn Ann Smith is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kaitlyn Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Omaha, NE 68154
- Reassigned Medicare billing, Nebraska enrollment
- 15 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kaitlyn Smith's NPI number?
The NPI number for Kaitlyn Smith is 1003404971. It was assigned to this individual provider in the NPPES registry on January 6, 2021.
Where is Kaitlyn Smith located?
Kaitlyn Smith practices at 230 E 22nd St Ste 4, Fremont, NE 68025. The listed phone number is (402) 727-1592.
What is Kaitlyn Smith's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kaitlyn Smith enrolled in Medicare?
Yes. Kaitlyn Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kaitlyn Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Smith reassigns Medicare benefits to Cord Where Science Meets Connection LLC (Omaha, NE). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaitlyn Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kaitlyn Smith accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company and 1 other insurer list Kaitlyn Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kaitlyn Smith was last updated on January 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kaitlyn Ann Smith · NPI 1003404971
Mental Health provider in Fremont, Nebraska. Individual provider, active in the CMS NPPES registry since January 6, 2021.
## Identity
- **NPI:** 1003404971 (Entity type: Individual)
- **Enumerated:** January 6, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 12444 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 230 E 22ND ST STE 4, Fremont, NE 68025-2661
- **Phone:** (402) 727-1592
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Cord Where Science Meets Connection LLC (NPI 1558995662, Omaha, NE), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** January 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1003404971) · Data from the CMS NPPES public registry.