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
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
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.
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.
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 2 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
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1053912360) · Data from the CMS NPPES public registry.