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: August 09, 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
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

Other Identifiers 3

Medicaid015136910VA
Medicare PIN3900647TN
Medicare UPINS70542VA

Medicare Participation & PECOS CMS

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

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.

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.

Nurse Anesthetist, Certified Registered
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Pathology (Anatomic Pathology & Clinical Pathology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Internal Medicine
1 MEDICAL PARK BLVD, STE 450W
BRISTOL, TN 37620
Emergency Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Nurse Practitioner (Critical Care Medicine)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Internal Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Internal Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Pathology (Anatomic Pathology & Clinical Pathology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620

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.

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 11 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.