MS. KELLY KRISTINE SMITH FNP
NPI 1629691142
Nurse Practitioner in Bronx, NY
About Ms. Kelly Kristine Smith Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KELLY KRISTINE SMITH FNP (NPI 1629691142) is an individual nurse practitioner in Bronx, New York, licensed in New York (F345592-01) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Kelly Kristine Smith Fnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Kelly Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bronx, NY 10474
- Reassigned Medicare billing, New York enrollment
- 197 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 10454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRONX, NY 10454
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 1629691142. It was assigned to this individual provider in the NPPES registry on May 19, 2020.
Where is Kelly Smith located?
Kelly Smith practices at 271 E 138th St, Bronx, NY 10454. The listed phone number is (347) 407-7120.
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.
Which organization bills Medicare for Kelly Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Smith reassigns Medicare benefits to Urban Health Plan, Inc. (Bronx, NY). The 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 Kelly 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 Kelly Smith was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ms. Kelly Kristine Smith, FNP · NPI 1629691142
Nurse Practitioner physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since May 19, 2020.
## Identity
- **NPI:** 1629691142 (Entity type: Individual)
- **Enumerated:** May 19, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** F345592-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 271 E 138TH ST, Bronx, NY 10454-2909
- **Phone:** (347) 407-7120
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Urban Health Plan, Inc. (NPI 1982758066, Bronx, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** June 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1629691142) · Data from the CMS NPPES public registry.