KERRY SMITH
NPI 1487066304
Nurse Practitioner in Rochester, MN
About Kerry Smith NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KERRY SMITH (NPI 1487066304) is an individual nurse practitioner in Rochester, Minnesota, licensed in Minnesota (1685) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kerry Smith is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Kerry Smith reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rochester, MN 55905
- Reassigned Medicare billing, Minnesota enrollment
- 6,534 clinicians in this Medicare group
Red Wing, MN 55066
- Reassigned Medicare billing, Minnesota enrollment
- 1,571 clinicians in this Medicare group
Waseca, MN 56093
- Reassigned Medicare billing, Minnesota enrollment
- 1,572 clinicians in this Medicare group
La Crosse, WI 54601
- Reassigned Medicare billing, Minnesota enrollment
- 330 clinicians in this Medicare group
Menomonie, WI 54751
- Reassigned Medicare billing, Minnesota enrollment
- 251 clinicians in this Medicare group
Fairmont, MN 56031
- Reassigned Medicare billing, Minnesota enrollment
- 806 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ROCHESTER, MN 55905
ROCHESTER, MN 55905
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 Kerry Smith's NPI number?
The NPI number for Kerry Smith is 1487066304. It was assigned to this individual provider in the NPPES registry on May 27, 2014.
Where is Kerry Smith located?
Kerry Smith practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.
What is Kerry Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kerry Smith enrolled in Medicare?
Yes. Kerry Smith is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kerry Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kerry Smith reassigns Medicare benefits to 6 organizations: Mayo Clinic (Rochester, MN), Mayo Clinic Health System-Southeast Minnesota Region (Red Wing, MN), Mayo Clinic Health System-Southwest Minnesota Region (Waseca, MN), Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (La Crosse, WI), Mayo Clinic Health System-Northwest Wisconsin Region, Inc. (Menomonie, WI) and 1 more organization, 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 Kerry Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kerry Smith was last updated on February 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kerry Smith · NPI 1487066304
Nurse Practitioner physician in Rochester, Minnesota. Individual provider, active in the CMS NPPES registry since May 27, 2014.
## Identity
- **NPI:** 1487066304 (Entity type: Individual)
- **Enumerated:** May 27, 2014
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 1685 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 1ST ST SW, Rochester, MN 55905-0001
- **Phone:** (507) 284-2511
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Mayo Clinic (NPI 1114343860, Rochester, MN); Mayo Clinic Health System-Southeast Minnesota Region (NPI 1114453883, Red Wing, MN); Mayo Clinic Health System-Southwest Minnesota Region (NPI 1518494251, Waseca, MN); Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (NPI 1629056049, La Crosse, WI); Mayo Clinic Health System-Northwest Wisconsin Region, Inc. (NPI 1235666967, Menomonie, WI); and 1 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 16, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1487066304) · Data from the CMS NPPES public registry.