KAITLYN VICTORIA SMITH
NPI 1053912360
Social Worker - Clinical in Fayetteville, AR
About Kaitlyn Victoria Smith NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAITLYN VICTORIA SMITH (NPI 1053912360) is an individual clinical provider in Fayetteville, Arkansas, licensed in Arkansas (10167) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
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 Victoria 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 Reassignments
3Medicare enrollment records show Kaitlyn Smith reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Springdale, AR 72762
- Reassigned Medicare billing, Arkansas enrollment
- 140 clinicians in this Medicare group
Fort Smith, AR 72901
- Reassigned Medicare billing, Arkansas enrollment
- 14 clinicians in this Medicare group
Birmingham, AL 35213
- Reassigned Medicare billing, Alabama enrollment
- 8 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
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 1053912360. It was assigned to this individual provider in the NPPES registry on November 3, 2020.
Where is Kaitlyn Smith located?
Kaitlyn Smith practices at 60 W Sunbridge Dr, Fayetteville, AR 72703. The listed phone number is (479) 695-1240.
What is Kaitlyn Smith's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
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 organizations bill Medicare for Kaitlyn Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Smith reassigns Medicare benefits to 3 organizations: Arisa Health, Inc. (Springdale, AR), Harbor House Incorporated Of Fort Smith Arkansas (Fort Smith, AR) and K & F Investments LLC (Birmingham, AL). Each 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 Oscar Insurance Company 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 September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 Victoria Smith · NPI 1053912360
Clinical provider in Fayetteville, Arkansas. Individual provider, active in the CMS NPPES registry since November 3, 2020.
## Identity
- **NPI:** 1053912360 (Entity type: Individual)
- **Enumerated:** November 3, 2020
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 10167 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 60 W SUNBRIDGE DR, Fayetteville, AR 72703-1822
- **Phone:** (479) 695-1240
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Arisa Health, Inc. (NPI 1437750411, Springdale, AR); Harbor House Incorporated Of Fort Smith Arkansas (NPI 1922166123, Fort Smith, AR); K & F Investments LLC (NPI 1629789359, Birmingham, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 11, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1053912360) · Data from the CMS NPPES public registry.