MS. KELLI JO SMITH APRN
NPI 1215507884
Nurse Practitioner - Family in Salem, AR

Active since June 28, 2021PECOS EnrolledAccepts Medicare Assignment
106 HIGHWAY 62 W, SALEM, AR 72576(501) 438-8075(870) 856-2107 Get Directions Write a Review

NPPES record last updated: July 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Kelli Jo Smith Aprn NPPES

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

MS. KELLI JO SMITH APRN (NPI 1215507884) is an individual family provider in Salem, Arkansas, licensed in Arkansas (213389) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (2020).

NPPES Registry Identity

NPI1215507884
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KELLI JO SMITHCredential: APRN
Location Address106 HIGHWAY 62 WSalem, AR 72576-8059
Mailing Address4196 Highway 62 412 Ste AHardy, AR 72542-8002 · Fax (870) 856-2107
Fax(870) 856-2107
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2020
Enumeration DateJune 28, 2021
Last NPPES UpdateJuly 2, 2021
NPPES CertifiedJuly 2, 2021
NPI 1215507884 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 AR · 213389
106 HIGHWAY 62 W, Salem, AR 72576

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Kelli Jo Smith Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911309968
PECOS Enrollment IDI20210713002128
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 72576 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier16 claims465 services$4.58 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier16 claims7,515 services$0.28 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
1 supplier16 claims16 services$39.98 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
1 supplier18 claims18 services$41.62 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier18 claims18 services$38.42 avg. paid by Medicare
General use wheelchair seat cushion, width less than 22 inches, any depth E2601
DME-Wheelchairs · category DD021N
1 supplier23 claims23 services$31.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

Pharmacy (Long Term Care Pharmacy)
106 HIGHWAY 62 W
SALEM, AR 72576
Nurse Practitioner (Family)
106 HIGHWAY 62 W
SALEM, AR 72576
Nurse Practitioner (Family)
106 HIGHWAY 62 W
SALEM, AR 72576
Family Medicine
106 HIGHWAY 62 W
SALEM, AR 72576
Durable Medical Equipment & Medical Supplies
106 HIGHWAY 62 W
SALEM, AR 72576
Nurse Practitioner (Family)
106 HIGHWAY 62 W
SALEM, AR 72576
Pharmacist
106 HIGHWAY 62 W
SALEM, AR 72576
Nurse Practitioner (Family)
106 HIGHWAY 62 W
SALEM, AR 72576

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 Kelli Smith's NPI number?

The NPI number for Kelli Smith is 1215507884. It was assigned to this individual provider in the NPPES registry on June 28, 2021.

Where is Kelli Smith located?

Kelli Smith practices at 106 Highway 62 W, Salem, AR 72576. The listed phone number is (501) 438-8075.

What is Kelli Smith's specialty?

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

Is Kelli Smith enrolled in Medicare?

Yes. Kelli Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelli Smith accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Kelli 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 Kelli Smith was last updated on July 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.