KELLEY SUZANNE SMITH APN
NPI 1538417688
Nurse Practitioner in Tyler, TX
About Kelley Suzanne Smith Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLEY SUZANNE SMITH APN (NPI 1538417688) is an individual nurse practitioner in Tyler, Texas, licensed in Texas (AP122482) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelley Suzanne Smith Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Kelley Smith reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tyler, TX 75702
- Reassigned Medicare billing, Texas enrollment
- 2,745 clinicians in this Medicare group
Tyler, TX 75701
- Reassigned Medicare billing, Texas enrollment
- 547 clinicians in this Medicare group
Jacksonville, TX 75766
- Reassigned Medicare billing, Texas enrollment
- 409 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 75702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
TYLER, TX 75702
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 Kelley Smith's NPI number?
The NPI number for Kelley Smith is 1538417688. It was assigned to this individual provider in the NPPES registry on August 21, 2012.
Where is Kelley Smith located?
Kelley Smith practices at 520 Douglas Blvd, Tyler, TX 75702. The listed phone number is (903) 593-1721.
What is Kelley Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kelley Smith enrolled in Medicare?
Yes. Kelley Smith is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kelley Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Smith reassigns Medicare benefits to 3 organizations: Christus Trinity Clinic Texas (Tyler, TX), Mother Frances Hospital Regional Health Care Center (Tyler, TX) and Mother Frances Hospital Jacksonville (Jacksonville, TX). 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 Kelley 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 Kelley Smith was last updated on April 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Kelley Suzanne Smith, APN · NPI 1538417688
Nurse Practitioner physician in Tyler, Texas. Individual provider, active in the CMS NPPES registry since August 21, 2012.
## Identity
- **NPI:** 1538417688 (Entity type: Individual)
- **Enumerated:** August 21, 2012
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** AP122482 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 520 DOUGLAS BLVD, Tyler, TX 75702-8307
- **Phone:** (903) 593-1721
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Christus Trinity Clinic Texas (NPI 1285684225, Tyler, TX); Mother Frances Hospital Regional Health Care Center (NPI 1679578439, Tyler, TX); Mother Frances Hospital Jacksonville (NPI 1952306672, Jacksonville, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 1, 2016
- **Other identifiers:** Medicaid 337227801 (TX); Other 75-2616977-007 (TX); Medicare PIN TXB165373 (TX); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1538417688) · Data from the CMS NPPES public registry.