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KELLY PAYNE SMITH NP
NPI 1588173199
Nurse Practitioner in Mequon, WI

Active since September 26, 2017PECOS EnrolledAccepts Medicare Assignment
75.75/100
CMS Quality Rating
10554 N PORT WASHINGTON RD, MEQUON, WI 53092(414) 352-2766(262) 241-5816 Get Directions Write a Review

NPPES record last updated: May 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Payne Smith Np NPPES

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

KELLY PAYNE SMITH NP (NPI 1588173199) is an individual nurse practitioner in Mequon, Wisconsin, licensed in Wisconsin (7838-33) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1588173199
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLY PAYNE SMITHCredential: NP
Location Address10554 N PORT WASHINGTON RDMequon, WI 53092-5537
Mailing Address10554 N Port Washington RdMequon, WI 53092-5537 · (414) 352-2766 · Fax (262) 241-5816
Phone(414) 352-2766
Fax(262) 241-5816
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 26, 2017
Last NPPES UpdateMay 10, 2019
✔ NPI 1588173199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 7838-33
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 7838-33 (WI)
10554 N PORT WASHINGTON RD, Mequon, WI 53092
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Payne Smith Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517292972
PECOS Enrollment IDI20190709000112
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53092 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

75.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.16
Promoting Interoperability76
Improvement Activities40
Cost57.63

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NAZIH JOHN YOUSIF MD
Surgery (Plastic and Reconstructive Surgery)
10554 N PORT WASHINGTON RD
MEQUON, WI 53092
Ozaukee County (414) 352-2766

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 Kelly Smith's NPI number?

The NPI number for Kelly Smith is 1588173199. It was assigned to this individual provider in the NPPES registry on September 26, 2017.

Where is Kelly Smith located?

Kelly Smith practices at 10554 N Port Washington Rd, Mequon, WI 53092. The listed phone number is (414) 352-2766.

What is Kelly Smith's specialty?

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

Is Kelly Smith enrolled in Medicare?

Yes. Kelly Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Smith accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Kelly Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelly Smith affiliated with any hospitals?

According to CMS data, Kelly Smith is affiliated with Ascension Columbia St Mary's Hospital Milwaukee.

When was this NPI record last updated?

The NPPES record for Kelly Smith was last updated on May 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.