KENNETH R SMITH NP
NPI 1083275630
Nurse Practitioner in Tucson, AZ

Active since June 25, 2019PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
6200 N LA CHOLLA BLVD, TUCSON, AZ 85741(520) 742-9000 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2025, Mar 12, 2025, Dec 5, 2022 (3 updates tracked since 2022).

About Kenneth R Smith Np NPPES

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

KENNETH R SMITH NP (NPI 1083275630) is an individual nurse practitioner in Tucson, Arizona, licensed in Arizona (306577) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Long Island Community Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083275630
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameKENNETH R SMITHCredential: NP
Location Address6200 N LA CHOLLA BLVDTucson, AZ 85741-3529
Mailing Address449 Apple Blossom DrAbilene, TX 79602-6009 · (801) 471-8870
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 25, 2019
Last NPPES UpdateAugust 11, 20253 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
NPI 1083275630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in AZ · 306577 Licensed in NM · 70622
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 9037845-8900 (UT), AP141978 (TX)
6200 N LA CHOLLA BLVD, Tucson, AZ 85741

Secondary Practice Locations 2

Location 11900 Pine StAbilene, TX 79601-2432 · Phone (800) 655-2656 · Fax (412) 822-7411
Location 2449 Apple Blossom DrAbilene, TX 79602-6009 · Phone (801) 471-8870

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

Kenneth R Smith Np 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 ID4486980497
PECOS Enrollment IDI20250902002263, I20260128002476
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
24 services24 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Long Island Community Hospital

Acute Care Hospitals · Patchogue, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330141
Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85741 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

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.

Nurse Anesthetist, Certified Registered
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Student in an Organized Health Care Education/Training Program
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Student in an Organized Health Care Education/Training Program
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Internal Medicine
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Nurse Practitioner (Acute Care)
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Nurse Anesthetist, Certified Registered
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Registered Nurse (Critical Care Medicine)
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Student in an Organized Health Care Education/Training Program
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741

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 Kenneth Smith's NPI number?

The NPI number for Kenneth Smith is 1083275630. It was assigned to this individual provider in the NPPES registry on June 25, 2019.

Where is Kenneth Smith located?

Kenneth Smith practices at 6200 N La Cholla Blvd, Tucson, AZ 85741. The listed phone number is (520) 742-9000.

What is Kenneth Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kenneth Smith enrolled in Medicare?

Yes. Kenneth 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.

Is Kenneth Smith affiliated with any hospitals?

According to CMS data, Kenneth Smith is affiliated with Long Island Community Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Smith was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.