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KELLY SMITH DC
NPI 1386746469
Chiropractor in Port St Lucie, FL

Active since September 01, 2006Accepts Medicare Assignment
905 NE PRIMA VISTA BLVD, SUITE E, PORT ST LUCIE, FL 34952(772) 336-8600(772) 336-0163 Get Directions Write a Review

NPPES record last updated: September 7, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Smith Dc NPPES

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

KELLY SMITH DC (NPI 1386746469) is an individual chiropractor in Port St Lucie, Florida, licensed in Florida (CH7123) and active in the NPI registry since September 2006. He is a graduate of Other (1994).

NPPES Registry Identity

NPI1386746469
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameKELLY SMITHCredential: DC
Location Address905 NE PRIMA VISTA BLVD, SUITE EPort St Lucie, FL 34952-2359
Mailing Address905 Ne Prima Vista Blvd, Suite EPort St Lucie, FL 34952-2359 · (772) 336-8600 · Fax (772) 336-0163
Phone(772) 336-8600
Fax(772) 336-0163
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateSeptember 1, 2006
Last NPPES UpdateSeptember 7, 2011
✔ NPI 1386746469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH7123
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
905 NE PRIMA VISTA BLVD, Port St Lucie, FL 34952
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Other Identifiers 1

Medicare ID-Type Unspecified55421

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.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

Kelly Smith Dc 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 ID2163681123
PECOS Enrollment IDI20120309000645

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 1386746469. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Kelly Smith located?

Kelly Smith practices at 905 NE Prima Vista Blvd Suite E, Port St Lucie, FL 34952. The listed phone number is (772) 336-8600.

What is Kelly Smith's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

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.

What insurance does Kelly Smith accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida, Providence Health Plan and Wellpoint 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 September 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.