KIMBERLY S SMITH APRN
NPI 1124037205
Nurse Practitioner - Family in Wichita, KS

Q: What is Kimberly Smith's NPI number?

The NPI number for Kimberly Smith is 1124037205. It was assigned to this individual provider in the NPPES registry on August 6, 2006.

Q: What is Kimberly Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Smith was last updated on April 28, 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.

Active since August 06, 2006PECOS EnrolledAccepts Medicare Assignment

9350 E 35TH ST N STE 101, WICHITA, KS 67226(316) 265-1308(316) 265-4480 Get Directions Write a Review

NPPES record last updated: April 28, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 28, 2019, Jan 15, 2019, Jan 13, 2016 (3 updates tracked since 2016).

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About Kimberly S Smith Aprn NPPES

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

KIMBERLY S SMITH APRN (NPI 1124037205) is an individual family provider in Wichita, Kansas, licensed in Kansas (53-45363) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1124037205

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY S SMITHCredential: APRN

Location Address9350 E 35TH ST N STE 101Wichita, KS 67226-2022

Mailing AddressPo Box 47669Wichita, KS 67201-7669 · (316) 712-9233 · Fax (316) 219-4141

Phone(316) 265-1308

Fax(316) 265-4480

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateAugust 6, 2006

Last NPPES UpdateApril 28, 20193 updates tracked since enumeration

✔ NPI 1124037205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KS · 53-45363

9350 E 35TH ST N STE 101, Wichita, KS 67226

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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

Kimberly S Smith Aprn 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 ID8628376852

PECOS Enrollment IDI20250502001211

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

Rock Ridge Family Medicine, P.A.

2.4 mi

Family Medicine

8010 E 53RD ST N
Bel Aire, KS 67226

Reassigned Medicare billing, Kansas enrollment
2 clinicians in this Medicare group

NPI 1023228459 (316) 630-8200

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 67226 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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.

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.

DAWN M SCHAKE ARNP

Nurse Practitioner (Acute Care)