KIMBERLY STEVENSON SMITH FNP-C
NPI 1205576022
Nurse Practitioner - Family in Salt Lake City, UT
About Kimberly Stevenson Smith Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY STEVENSON SMITH FNP-C (NPI 1205576022) is an individual family provider in Salt Lake City, Utah, licensed in Utah (11609135-4405) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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 Stevenson Smith Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84132
- Reassigned Medicare billing, Utah enrollment
- 2,620 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84108
SALT LAKE CITY, UT 84108
SALT LAKE CITY, UT 84108
SALT LAKE CITY, UT 84108
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 1205576022. It was assigned to this individual provider in the NPPES registry on March 30, 2022.
Where is Kimberly Smith located?
Kimberly Smith practices at 295 Chipeta Way, Salt Lake City, UT 84108. The listed phone number is (801) 588-8276.
What is Kimberly Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kimberly Smith enrolled in Medicare?
Yes. Kimberly Smith is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimberly Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Smith reassigns Medicare benefits to University Of Utah Adult Services (Salt Lake City, UT). The 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 BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans 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 December 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Kimberly Stevenson Smith, FNP-C · NPI 1205576022
Family physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since March 30, 2022.
## Identity
- **NPI:** 1205576022 (Entity type: Individual)
- **Enumerated:** March 30, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11609135-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 295 CHIPETA WAY, Salt Lake City, UT 84108-4706
- **Phone:** (801) 588-8276 · **Fax:** (801) 587-7539
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Utah Adult Services (NPI 1144624990, Salt Lake City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1205576022) · Data from the CMS NPPES public registry.