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KIM K. SMITH N.P.
NPI 1194723130
Nurse Practitioner - Family in Bristol, TN

Active since July 13, 2005PECOS Enrolled
1 MEDICAL PARK BLVD, BRISTOL, TN 37620(423) 282-1480(423) 928-1353 Get Directions Write a Review

NPPES record last updated: October 14, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kim K. Smith N.p. NPPES

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

KIM K. SMITH N.P. (NPI 1194723130) is an individual family provider in Bristol, Tennessee, licensed in Virginia (0024165080) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194723130
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIM K. SMITHCredential: N.P.
Location Address1 MEDICAL PARK BLVDBristol, TN 37620-7430
Mailing Address119 Boone Ridge DrJohnson City, TN 37615-4998 · (423) 282-1480 · Fax (423) 928-1353
Phone(423) 282-1480
Fax(423) 928-1353
Sole ProprietorNo
Enumeration DateJuly 13, 2005
Last NPPES UpdateOctober 14, 2014
✔ NPI 1194723130 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 VA · 0024165080
1 MEDICAL PARK BLVD, Bristol, TN 37620
Open in Google Maps ↗

Other Identifiers 3

Medicaid015136910VA
Medicare PIN3900647TN
Medicare UPINS70542VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim K. Smith N.p. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kim Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Infinity Medical Management, LLC
32 mi
Internal Medicine
1761 PARK AVE SW
Norton, VA 24273
  • Reassigned Medicare billing, Virginia enrollment
  • 7 clinicians in this Medicare group
NPI 1336432962 (276) 325-0417
Southeastern Physician Services PC
118 mi
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Tennessee and Virginia enrollments
  • 1,085 clinicians in this Medicare group
NPI 1083835441 (865) 481-1000

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 37620 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

CASSONDRA NICHOLE COMPTON CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-2686
DAVID R HUDGENS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-3220
DR. JEAN MARIE MANCINI M.D.
Internal Medicine
1 MEDICAL PARK BLVD, STE 450W
BRISTOL, TN 37620
Sullivan County (423) 968-3713
THOMAS A KITTS MD
Emergency Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-2100
LAURA ANN ELLER AGACNP
Nurse Practitioner (Critical Care Medicine)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-1121
DR. WALTER DAVIS ARNOLD JR. MD
Internal Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 282-1480
DR. KARL E LAWRENCE M.D.
Internal Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-1121
DR. MICHAEL WAYNE RENTZ MD
Pathology (Anatomic Pathology & Clinical Pathology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-3220

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 Kim Smith's NPI number?

The NPI number for Kim Smith is 1194723130. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Kim Smith located?

Kim Smith practices at 1 Medical Park Blvd, Bristol, TN 37620. The listed phone number is (423) 282-1480.

What is Kim Smith's specialty?

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

Is Kim Smith enrolled in Medicare?

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

Which organizations bill Medicare for Kim Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Smith reassigns Medicare benefits to 2 organizations: Infinity Medical Management, LLC (Norton, VA) and Southeastern Physician Services PC (Oak Ridge, TN). 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 Kim Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kim Smith was last updated on October 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.