KIMBERLY SMITH MSN, APRN
NPI 1124791108
Nurse Practitioner - Psychiatric/Mental Health in Colorado Springs, CO

Active since July 27, 2021PECOS Enrolled
1115 ELKTON DR STE 300, COLORADO SPRINGS, CO 80907(719) 373-9703(877) 588-3465 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 7, 2023, Sep 13, 2022, Sep 15, 2021 and 1 more (4 updates tracked since 2021).

About Kimberly Smith Msn, Aprn NPPES

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

KIMBERLY SMITH MSN, APRN (NPI 1124791108) is an individual psychiatric/mental health provider in Colorado Springs, Colorado, licensed in Colorado (C-APN.0003813-C-NP) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lafayette, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1124791108
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKIMBERLY SMITHCredential: MSN, APRN
Location Address1115 ELKTON DR STE 300Colorado Springs, CO 80907-3597
Mailing Address497 W 400 NValparaiso, IN 46385-9227 · (859) 324-1638
Fax(877) 588-3465
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 27, 2021
Last NPPES UpdateJuly 7, 20234 updates tracked since enumeration
NPPES CertifiedJune 28, 2023
✔ NPI 1124791108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in CO · C-APN.0003813-C-NP✔ Licensed in IN · 71011556A
Also ListedRegistered NurseTaxonomy 163W00000X · License 010000 (KY)
1115 ELKTON DR STE 300, Colorado Springs, CO 80907

Other Names 1

Professional Name (2)Kimberly Smith Pmhnp-bc

Secondary Practice Location 1

Location 1250 Main St Ste 420Lafayette, IN 47901-1285 · Phone (765) 300-4234

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID4385041235
PECOS Enrollment IDI20240905003268
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 Reassignments

4

Medicare enrollment records show Kimberly Smith reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
1115 ELKTON DR STE 300
Colorado Springs, CO 80907
  • Reassigned Medicare billing, Colorado enrollment
  • 48 clinicians in this Medicare group
Family Medicine
9660 WICKER AVE
St John, IN 46373
  • Reassigned Medicare billing, Indiana enrollment
  • 607 clinicians in this Medicare group
Psychiatry
5214F DIAMOND HEIGHTS BLVD # 345
San Francisco, CA 94131
  • Reassigned Medicare billing, Colorado enrollment
  • Medicare enrollment name: Brightside Medical PA
  • 15 clinicians in this Medicare group
Marriage & Family Therapist
3150 CUSTER DR STE 202
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 32 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
104 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80907 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Community/Behavioral Health
1115 ELKTON DR STE 300
COLORADO SPRINGS, CO 80907
Specialist
1115 ELKTON DR STE 300
COLORADO SPRINGS, CO 80907
Psychiatry & Neurology (Psychiatry)
1115 ELKTON DR STE 300
COLORADO SPRINGS, CO 80907
Nurse Practitioner (Psychiatric/Mental Health)
1115 ELKTON DR STE 300
COLORADO SPRINGS, CO 80907
Nurse Practitioner (Psychiatric/Mental Health)
1115 ELKTON DR STE 300
COLORADO SPRINGS, CO 80907
Nurse Practitioner
1115 ELKTON DR STE 300
COLORADO SPRINGS, CO 80907
Psychologist (Counseling)
1115 ELKTON DR STE 300
COLORADO SPRINGS, CO 80907
Physician Assistant
1115 ELKTON DR STE 300
COLORADO SPRINGS, CO 80907

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 Kimberly Smith's NPI number?

The NPI number for Kimberly Smith is 1124791108. It was assigned to this individual provider in the NPPES registry on July 27, 2021. The provider is also known as Kimberly Smith Pmhnp-Bc.

Where is Kimberly Smith located?

Kimberly Smith practices at 1115 Elkton Dr Ste 300, Colorado Springs, CO 80907. The listed phone number is (719) 373-9703.

What is Kimberly Smith's specialty?

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

Is Kimberly Smith enrolled in Medicare?

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

Which organizations bill Medicare for Kimberly Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Smith reassigns Medicare benefits to 4 organizations: Achieve Whole Recovery, PC (Colorado Springs, CO), Community Care Network Inc (St John, IN), Brightside Medical, P.A. (San Francisco, CA) and Kentucky Services, LLC (Lexington, KY). Each 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 Kimberly Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Smith accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Cigna Healthcare and UnitedHealthcare list Kimberly 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 Kimberly Smith was last updated on July 7, 2023. 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.