KELSEY H SMITH P
NPI 1568916583
Physician Assistant - Surgical in Arlington Heights, IL

Q: What is Kelsey Smith's NPI number?

The NPI number for Kelsey Smith is 1568916583. It was assigned to this individual provider in the NPPES registry on August 8, 2016.

Q: What is Kelsey Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Kelsey Smith was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 08, 2016PECOS Enrolled

93.08/100

CMS Quality Rating

880 W CENTRAL RD DEPT OF, ARLINGTON HEIGHTS, IL 60005(847) 570-1440(847) 570-1442 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 23, 2022, Nov 23, 2021, Aug 18, 2021 and 4 more (7 updates tracked since 2016).

On this page

About Kelsey H Smith P NPPES

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

KELSEY H SMITH P (NPI 1568916583) is an individual surgical provider in Arlington Heights, Illinois, licensed in Illinois (085008913) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568916583

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameKELSEY H SMITHCredential: P

Location Address880 W CENTRAL RD DEPT OFArlington Heights, IL 60005-2355

Mailing Address880 W Central Rd, Department Of NeurosurgeryArlington Heights, IL 60005-2355 · (847) 570-1440 · Fax (847) 570-1442

Phone(847) 570-1440

Fax(847) 570-1442

Sole ProprietorNo

Enumeration DateAugust 8, 2016

Last NPPES UpdateMay 23, 20227 updates tracked since enumeration

NPPES CertifiedMay 23, 2022

✔ NPI 1568916583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Licenses✔ Licensed in IL · 085008913✔ Licensed in WI · 3881-23

Also ListedPhysician AssistantTaxonomy 363A00000X · License 3881 (WI)

880 W CENTRAL RD DEPT OF, Arlington Heights, IL 60005

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Other Identifiers 1

Medicaid100060159WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey H Smith P 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.79

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers24 claims24 services$187.30 avg. paid by Medicare

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

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 Kelsey Smith's NPI number?

The NPI number for Kelsey Smith is 1568916583. It was assigned to this individual provider in the NPPES registry on August 8, 2016.

Where is Kelsey Smith located?

Kelsey Smith practices at 880 W Central Rd Dept Of, Arlington Heights, IL 60005. The listed phone number is (847) 570-1440.

What is Kelsey Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kelsey Smith enrolled in Medicare?

Yes. Kelsey Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelsey Smith was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.