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KACEY SMITH
NPI 1104548981
Nurse Practitioner in Wildwood, FL

Active since September 19, 2022PECOS Enrolled
300 S MAIN ST UNIT 2, WILDWOOD, FL 34785(386) 299-8080 Get Directions Write a Review

NPPES record last updated: November 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 11, 2022, Sep 19, 2022 (2 updates tracked since 2022).

About Kacey Smith NPPES

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

KACEY SMITH (NPI 1104548981) is an individual nurse practitioner in Wildwood, Florida, licensed in Florida (APRN11021601) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104548981
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKACEY SMITH
Location Address300 S MAIN ST UNIT 2Wildwood, FL 34785-4542
Mailing Address21253 S Buckhill RdClermont, FL 34715-9066 · (386) 299-8080
Phone(386) 299-8080
Sole ProprietorYes
Enumeration DateSeptember 19, 2022
Last NPPES UpdateNovember 11, 20222 updates tracked since enumeration
NPPES CertifiedNovember 11, 2022
✔ NPI 1104548981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN11021601
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.
300 S MAIN ST UNIT 2, Wildwood, FL 34785
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kacey Smith is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kacey Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Physicians Of Central Florida LLP
46 mi
Emergency Medicine
1414 S ORANGE AVE, MP 156
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 347 clinicians in this Medicare group
NPI 1326033341 (407) 841-5111

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 34785 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 Kacey Smith's NPI number?

The NPI number for Kacey Smith is 1104548981. It was assigned to this individual provider in the NPPES registry on September 19, 2022.

Where is Kacey Smith located?

Kacey Smith practices at 300 S Main St Unit 2, Wildwood, FL 34785. The listed phone number is (386) 299-8080.

What is Kacey Smith's specialty?

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

Is Kacey Smith enrolled in Medicare?

Yes. Kacey Smith is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kacey Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kacey Smith reassigns Medicare benefits to Emergency Physicians Of Central Florida LLP (Orlando, FL). 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 Kacey Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kacey Smith accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Kacey 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 Kacey Smith was last updated on November 11, 2022. 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.