DR. KENNETH SMITH II DNP
NPI 1376945261
Nurse Practitioner - Primary Care in Beale Afb, CA

Q: What is Kenneth Smith's NPI number?

The NPI number for Kenneth Smith is 1376945261. It was assigned to this individual provider in the NPPES registry on September 23, 2014.

Q: What is Kenneth Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Smith was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since September 23, 2014PECOS Enrolled

15301 WARREN SHINGLE RD, BEALE AFB, CA 95903(530) 634-4623 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2025, Jan 9, 2025, Dec 14, 2018 and 1 more (4 updates tracked since 2018).

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About Dr. Kenneth Smith Ii Dnp NPPES

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

DR. KENNETH SMITH II DNP (NPI 1376945261) is an individual primary care provider in Beale Afb, California, licensed in New Mexico (63613) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376945261

Entity TypeIndividualMale

Primary Taxonomy363LP2300X

Provider Legal NameDR. KENNETH SMITH IICredential: DNP

Location Address15301 WARREN SHINGLE RDBeale Afb, CA 95903-1905

Mailing Address15301 Warren Shingle Rd Bldg 5700Beale Afb, CA 95903-1905 · (530) 634-4114 · Fax (530) 634-4763

Phone(530) 634-4623

Sole ProprietorNo

Enumeration DateSeptember 23, 2014

Last NPPES UpdateDecember 11, 20254 updates tracked since enumeration

NPPES CertifiedDecember 11, 2025

✔ NPI 1376945261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in NM · 63613

15301 WARREN SHINGLE RD, Beale Afb, CA 95903

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth Smith Ii Dnp 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 95903 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

DR. TIMOTHY LON HALPIN D.O.

Family Medicine

15301 WARREN SHINGLE RD, 9TH MEDICAL GROUP CLINIC
BEALE AFB, CA 95903

Yuba County (530) 634-4699

DR. NATHANIEL DEAN FORD MD, MPH

Internal Medicine