Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MR. KEVIN DOUGLAS SMITH RN, MN, NP-C
NPI 1184603268
Nurse Practitioner - Family in Spokane, WA

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since January 17, 2006PECOS Enrolled

4815 N ASSEMBLY ST, SPOKANE, WA 99205(509) 434-7941(509) 434-7115 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 13, 2026, Mar 7, 2023 (2 updates tracked since 2023).

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About Mr. Kevin Douglas Smith Rn, Mn, Np-c NPPES

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

MR. KEVIN DOUGLAS SMITH RN, MN, NP-C (NPI 1184603268) is an individual family provider in Spokane, Washington, licensed in Washington (AP30006383) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184603268

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. KEVIN DOUGLAS SMITHCredential: RN, MN, NP-C

Location Address4815 N ASSEMBLY STSpokane, WA 99205-6185

Mailing Address606 E Campbell StMedical Lake, WA 99022-8909 · (509) 299-4854

Phone(509) 434-7941

Fax(509) 434-7115

Sole ProprietorNo

Enumeration DateJanuary 17, 2006

Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration

✔ NPI 1184603268 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 WA · AP30006383

4815 N ASSEMBLY ST, Spokane, WA 99205

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kevin Douglas Smith Rn, Mn, Np-c 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 99205 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

MISS ROBERTA BARNES NURSE PRACTITIONER

Nurse Practitioner (Family)

4815 N ASSEMBLY ST, DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER
SPOKANE, WA 99205

Spokane County (509) 434-7000

MARIA C CUENCO MD

Internal Medicine