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KELLEY SMODIC CRNP
NPI 1083895965
Nurse Practitioner - Psychiatric/Mental Health in Greensburg, PA

Active since November 19, 2007PECOS EnrolledAccepts Medicare Assignment
1117 WOODWARD DR, SUITE 4, GREENSBURG, PA 15601(724) 834-0432(888) 972-1731 Get Directions Write a Review

NPPES record last updated: September 24, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 24, 2019, Nov 22, 2016 (2 updates tracked since 2016).

About Kelley Smodic Crnp NPPES

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

KELLEY SMODIC CRNP (NPI 1083895965) is an individual psychiatric/mental health provider in Greensburg, Pennsylvania, licensed in Pennsylvania (SP008361) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1083895965
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKELLEY SMODICCredential: CRNP
Location Address1117 WOODWARD DR, SUITE 4Greensburg, PA 15601-7228
Mailing Address1117 Woodward Dr, Suite 4Greensburg, PA 15601-7228 · (724) 834-0432 · Fax (888) 972-1731
Phone(724) 834-0432
Fax(888) 972-1731
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateNovember 19, 2007
Last NPPES UpdateSeptember 24, 20192 updates tracked since enumeration
✔ NPI 1083895965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in PA · SP008361
Also ListedCounselorTaxonomy 101Y00000X · License SP008361 (PA)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License SP008361 (PA)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License SP008361 (PA)
1117 WOODWARD DR, Greensburg, PA 15601
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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

Kelley Smodic Crnp 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 ID7618904921
PECOS Enrollment IDI20050719000479
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.

Medicare Billing Reassignment

Medicare enrollment records show Kelley Smodic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Innervision Therapy, LLC
19 mi
Psychiatric/Mental Health
4000 HEMPFIELD PLAZA BLVD, SUITE 926
Greensburg, PA 15601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2 clinicians in this Medicare group
NPI 1740460260 (724) 834-0432

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 15601 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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 Kelley Smodic's NPI number?

The NPI number for Kelley Smodic is 1083895965. It was assigned to this individual provider in the NPPES registry on November 19, 2007.

Where is Kelley Smodic located?

Kelley Smodic practices at 1117 Woodward Dr Suite 4, Greensburg, PA 15601. The listed phone number is (724) 834-0432.

What is Kelley Smodic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kelley Smodic enrolled in Medicare?

Yes. Kelley Smodic 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 Kelley Smodic's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Smodic reassigns Medicare benefits to Innervision Therapy, LLC (Greensburg, PA). 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 Kelley Smodic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelley Smodic was last updated on September 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.