CAITLYN TENNILE SMITH FNP-C
NPI 1104779370
Nurse Practitioner - Family in Mexico, MO
About Caitlyn Tennile Smith Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAITLYN TENNILE SMITH FNP-C (NPI 1104779370) is an individual family provider in Mexico, Missouri, licensed in Missouri (2026003647) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Caitlyn Tennile Smith Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65265 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
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 Caitlyn Smith's NPI number?
The NPI number for Caitlyn Smith is 1104779370. It was assigned to this individual provider in the NPPES registry on February 18, 2026.
Where is Caitlyn Smith located?
Caitlyn Smith practices at 1051 Old Farm Rd E, Mexico, MO 65265. The listed phone number is (573) 581-2455.
What is Caitlyn Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Caitlyn Smith enrolled in Medicare?
Yes. Caitlyn Smith is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Caitlyn Smith was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Caitlyn Tennile Smith, FNP-C · NPI 1104779370
Family physician in Mexico, Missouri. Individual provider, active in the CMS NPPES registry since February 18, 2026.
## Identity
- **NPI:** 1104779370 (Entity type: Individual)
- **Enumerated:** February 18, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2026003647 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1051 OLD FARM RD E, Mexico, MO 65265-4200
- **Phone:** (573) 581-2455
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** February 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104779370) · Data from the CMS NPPES public registry.