KRISTIN N SMITH PLLC
NPI 1467605691
Nurse Practitioner - Adult Health in Phoenix, AZ

Active since October 31, 2008
5303 W HACKAMORE DR, PHOENIX, AZ 85083(623) 266-2690(623) 337-4224 Get Directions Write a Review

NPPES record last updated: October 31, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kristin N Smith Pllc NPPES

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

KRISTIN N SMITH PLLC (NPI 1467605691) is a healthcare organization registered as an adult health in Phoenix, Arizona and active in the NPI registry since October 2008. The organization lists Kristin Nicole Smith, Independent Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1467605691
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameKRISTIN N SMITH PLLC
Location Address5303 W HACKAMORE DRPhoenix, AZ 85083-4418
Mailing Address5303 W Hackamore DrPhoenix, AZ 85083-4418 · (623) 266-2690 · Fax (623) 337-4224
Fax(623) 337-4224
Organization SubpartNo
Authorized OfficialKristin Nicole SmithIndependent Nurse Practitioner · (602) 524-1927
Enumeration DateOctober 31, 2008
✔ NPI 1467605691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in AZ · RN104595
5303 W HACKAMORE DR, Phoenix, AZ 85083

Other Identifiers 3

Medicare PIN104721AZ
Other1174598775Current Individual Npi Number
Medicaid949894AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristin N Smith Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kristin N Smith PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1174598775
5303 W HACKAMORE DR
Glendale, AZ 85310
(623) 266-2690
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kristin N Smith PLLC's NPI number?

The NPI number for Kristin N Smith PLLC is 1467605691. It was assigned to this organization in the NPPES registry on October 31, 2008.

Where is Kristin N Smith PLLC located?

Kristin N Smith PLLC is located at 5303 W Hackamore Dr, Phoenix, AZ 85083. The listed phone number is (623) 266-2690.

What is Kristin N Smith PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kristin N Smith PLLC enrolled in Medicare?

Yes. Kristin N Smith PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kristin N Smith PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Kristin N Smith PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kristin N Smith PLLC was last updated on October 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.