KRISTEN SMITH
NPI 1154842409
Nurse Practitioner - Family in Indianola, MS

Q: What is Kristen Smith's NPI number?

The NPI number for Kristen Smith is 1154842409. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Q: What is Kristen 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 Kristen Smith was last updated on June 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 June 27, 2017PECOS Enrolled

122 E BAKER ST, INDIANOLA, MS 38751(662) 887-2212(662) 887-1279 Get Directions Write a Review

NPPES record last updated: June 27, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kristen Smith NPPES

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

KRISTEN SMITH (NPI 1154842409) is an individual family provider in Indianola, Mississippi, licensed in Mississippi (882509) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154842409

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKRISTEN SMITH

Location Address122 E BAKER STIndianola, MS 38751-2451

Mailing Address122 E Baker StIndianola, MS 38751-2451 · (662) 887-2212 · Fax (662) 887-1279

Phone(662) 887-2212

Fax(662) 887-1279

Sole ProprietorNo

Enumeration DateJune 27, 2017

✔ NPI 1154842409 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 MS · 882509

122 E BAKER ST, Indianola, MS 38751

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristen 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38751 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH BAIRD DAWSON CFNP

Nurse Practitioner (Family)