KELLEY SUZANNE SMITH APN
NPI 1538417688
Nurse Practitioner in Tyler, TX

Q: 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.

Q: What is Kelley Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: 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.

Active since August 21, 2012PECOS Enrolled

520 DOUGLAS BLVD, TYLER, TX 75702(903) 593-1721 Get Directions Write a Review

NPPES record last updated: April 1, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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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

NPI1538417688

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELLEY SUZANNE SMITHCredential: APN

Location Address520 DOUGLAS BLVDTyler, TX 75702-8307

Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 324-6450

Phone(903) 593-1721

Sole ProprietorNo

Enumeration DateAugust 21, 2012

Last NPPES UpdateApril 1, 2016

✔ NPI 1538417688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · AP122482

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

520 DOUGLAS BLVD, Tyler, TX 75702

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Other Identifiers 6

Medicaid337227801TX

Other75-2616977-007TX · Tricare

Medicare PINTXB165373TX

Medicare UPIN351594YMAFTX

Medicare OSCAR/certificationP01342573TX

Other8863NHTX · Bcbs

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelley Suzanne Smith Apn 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 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.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers18 claims18 services$101.62 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

4 suppliers13 claims13 services$23.94 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

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