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KORTNEY KYLE KILLGORE-SMITH ARNP
NPI 1023379989
Nurse Practitioner - Family in Waitsburg, WA

Active since June 06, 2012PECOS EnrolledAccepts Medicare Assignment
235 MAIN STREET, WAITSBURG, WA 99361(509) 337-6311(509) 337-6011 Get Directions Write a Review

NPPES record last updated: May 14, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kortney Kyle Killgore-smith Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KORTNEY KYLE KILLGORE-SMITH ARNP (NPI 1023379989) is an individual family provider in Waitsburg, Washington, licensed in Washington (AP60281165) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Providence St Mary Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1023379989
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKORTNEY KYLE KILLGORE-SMITHCredential: ARNP
Location Address235 MAIN STREETWaitsburg, WA 99361
Mailing Address1012 South Third StreetDayton, WA 99328 · (509) 382-2531 · Fax (509) 382-3205
Phone(509) 337-6311
Fax(509) 337-6011
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 6, 2012
Last NPPES UpdateMay 14, 2014
✔ NPI 1023379989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WA · AP60281165
235 MAIN STREET, Waitsburg, WA 99361
Open in Google Maps ↗

Other Identifiers 1

Medicare OSCAR/certificationG8915859WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kortney Kyle Killgore-smith Arnp 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.

PECOS PAC ID5294986469
PECOS Enrollment IDI20121115000623
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
173 services170 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
139 services132 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
67 services67 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
29 services29 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
28 services28 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
25 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence St Mary Medical Center

Acute Care Hospitals · Walla Walla, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500002
Location401 W Poplar StWalla Walla, WA 99362 · Walla Walla County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99361 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLUMBIA COUNTY HOSPITAL DISTRICT
Clinic/Center (Rural Health)
235 MAIN STREET
WAITSBURG, WA 99361
Walla Walla County (509) 337-6311

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 Kortney Killgore-smith's NPI number?

The NPI number for Kortney Killgore-smith is 1023379989. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Where is Kortney Killgore-smith located?

Kortney Killgore-smith practices at 235 Main Street, Waitsburg, WA 99361. The listed phone number is (509) 337-6311.

What is Kortney Killgore-smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kortney Killgore-smith enrolled in Medicare?

Yes. Kortney Killgore-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.

What insurance does Kortney Killgore-smith accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kortney Killgore-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.

Is Kortney Killgore-smith affiliated with any hospitals?

According to CMS data, Kortney Killgore-smith is affiliated with Providence St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Kortney Killgore-smith was last updated on May 14, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.