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MS. KELSEY KILLEEN SMITH PA-C
NPI 1588264584
Physician Assistant in Winston Salem, NC

Active since October 28, 2020PECOS EnrolledAccepts Medicare Assignment
140 KIMEL PARK DR STE 100, WINSTON SALEM, NC 27103(336) 245-2100(336) 768-7782 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2026, Jun 9, 2022, Oct 28, 2020 (3 updates tracked since 2020).

About Ms. Kelsey Killeen Smith Pa-c NPPES

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

MS. KELSEY KILLEEN SMITH PA-C (NPI 1588264584) is an individual physician assistant in Winston Salem, North Carolina, licensed in North Carolina (001010652) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1588264584
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. KELSEY KILLEEN SMITHCredential: PA-C
Location Address140 KIMEL PARK DR STE 100Winston Salem, NC 27103-6185
Mailing AddressPo Box 751803Charlotte, NC 28275-1803
Phone(336) 245-2100
Fax(336) 768-7782
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 28, 2020
Last NPPES UpdateApril 30, 20263 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
✔ NPI 1588264584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 001010652
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
140 KIMEL PARK DR STE 100, Winston Salem, NC 27103
Open in Google Maps ↗

Secondary Practice Locations 3

Location 15718 W Gate City BlvdGreensboro, NC 27407-7039 · Phone (336) 738-1691
Location 21814 Westchester Dr Ste 203AHigh Point, NC 27262-7369 · Phone (336) 702-1355 · Fax (336) 802-2026
Location 34515 Premier Dr Ste 201High Point, NC 27265-8356 · Phone (336) 802-2610 · Fax (336) 802-2611

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Ms. Kelsey Killeen Smith Pa-c 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 ID941614010
PECOS Enrollment IDI20210201001989
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
68 services65 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services36 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
32 services16 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
22 services22 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
16 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

HELEN KALIM ANDRAOS PA-C
Physician Assistant
140 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 245-2100
LUISA FERNANDEZ PA-C
Physician Assistant
140 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 245-2100
DR. PAUL DAVID MCCLAIN M.D.
Urology
140 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 245-2100
FORSYTH MEMORIAL HOSPITAL, INC
Urology
140 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 245-2100
OLIVER BENTON IV MD
Urology
140 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 245-2100
JOHN ROBERT SCHWABE M.D.
Urology
140 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 245-2100
JOHN GREGORY ALBRITTON NP
Nurse Practitioner
140 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 245-2100
NOVANT MEDICAL GROUP INC
Urology
140 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 245-2100

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 1588264584. It was assigned to this individual provider in the NPPES registry on October 28, 2020.

Where is Kelsey Smith located?

Kelsey Smith practices at 140 Kimel Park Dr Ste 100, Winston Salem, NC 27103. The listed phone number is (336) 245-2100.

What is Kelsey Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelsey Smith enrolled in Medicare?

Yes. Kelsey 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 Kelsey Smith accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 2 other insurers list Kelsey 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 Kelsey Smith affiliated with any hospitals?

According to CMS data, Kelsey Smith is affiliated with North Carolina Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Kelsey Smith was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.