DR. KELLY CRAGHILL FAGERBURG SMITH PSYD
NPI 1376896803
Psychologist in Fargo, ND
About Dr. Kelly Craghill Fagerburg Smith Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KELLY CRAGHILL FAGERBURG SMITH PSYD (NPI 1376896803) is an individual psychologist in Fargo, North Dakota, licensed in North Dakota (473) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kelly Craghill Fagerburg Smith Psyd 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.
Medicare Billing Reassignments
9Medicare enrollment records show Kelly Smith reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fargo, ND 58103
- Reassigned Medicare billing, North Dakota enrollment
- 10 clinicians in this Medicare group
Fargo, ND 58103
- Reassigned Medicare billing, North Dakota enrollment
- Medicare enrollment name: Southeast Human Service Center
- 91 clinicians in this Medicare group
Grand Forks, ND 58201
- Reassigned Medicare billing, North Dakota enrollment
- Medicare enrollment name: Northeast Human Service Center
- 79 clinicians in this Medicare group
Jamestown, ND 58401
- Reassigned Medicare billing, North Dakota enrollment
- Medicare enrollment name: South Central Human Service Center
- 73 clinicians in this Medicare group
Devils Lake, ND 58301
- Reassigned Medicare billing, North Dakota enrollment
- Medicare enrollment name: Lake Region Human Service Center
- 69 clinicians in this Medicare group
Bismarck, ND 58501
- Reassigned Medicare billing, North Dakota enrollment
- Medicare enrollment name: West Central Human Service Center
- 89 clinicians in this Medicare group
Minot, ND 58701
- Reassigned Medicare billing, North Dakota enrollment
- Medicare enrollment name: North Central Human Service Center
- 78 clinicians in this Medicare group
Dickinson, ND 58601
- Reassigned Medicare billing, North Dakota enrollment
- Medicare enrollment name: Badlands Human Service Center
- 79 clinicians in this Medicare group
Williston, ND 58801
- Reassigned Medicare billing, North Dakota enrollment
- Medicare enrollment name: Northwest Human Service Center
- 69 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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kelly Smith's NPI number?
The NPI number for Kelly Smith is 1376896803. It was assigned to this individual provider in the NPPES registry on October 22, 2012.
Where is Kelly Smith located?
Kelly Smith practices at 1308 23rd St S, Fargo, ND 58103. The listed phone number is (701) 297-7540.
What is Kelly Smith's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Kelly Smith enrolled in Medicare?
Yes. Kelly 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.
Which organizations bill Medicare for Kelly Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Smith reassigns Medicare benefits to 9 organizations: Benson Psychological Services PC (Fargo, ND), Southeast Behavioral Health Clinic (Fargo, ND), Northeast Behavioral Health Clinic (Grand Forks, ND), South Central Behavioral Health Clinic (Jamestown, ND), Lake Region Behavioral Health Clinic (Devils Lake, ND) and 4 more organizations, listed in the Medicare section above. 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 Kelly Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Smith accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Kelly 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 Kelly Smith was last updated on March 11, 2015. 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.
# Dr. Kelly Craghill Fagerburg Smith, PSYD · NPI 1376896803
Psychologist provider in Fargo, North Dakota. Individual provider, active in the CMS NPPES registry since October 22, 2012.
## Identity
- **NPI:** 1376896803 (Entity type: Individual)
- **Enumerated:** October 22, 2012
- **Primary specialty:** Psychologist · taxonomy 103T00000X
- **State license:** 473 (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1308 23RD ST S, Fargo, ND 58103-3707
- **Phone:** (701) 297-7540 · **Fax:** (701) 297-6439
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Benson Psychological Services PC (NPI 1477709574, Fargo, ND); Southeast Behavioral Health Clinic (NPI 1932146941, Fargo, ND); Northeast Behavioral Health Clinic (NPI 1366496341, Grand Forks, ND); South Central Behavioral Health Clinic (NPI 1225075906, Jamestown, ND); Lake Region Behavioral Health Clinic (NPI 1669411930, Devils Lake, ND); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** March 11, 2015
- **Other identifiers:** Medicare UPIN N719250 (ND); Medicaid 17313 (ND)
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Source: [NPI Profile](https://npiprofile.com/npi/1376896803) · Data from the CMS NPPES public registry.