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MS. KELLY KRISTINE SMITH FNP
NPI 1629691142
Nurse Practitioner in Bronx, NY

Active since May 19, 2020PECOS EnrolledAccepts Medicare Assignment
271 E 138TH ST, BRONX, NY 10454(347) 407-7120 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2026, Sep 9, 2020, Aug 28, 2020 and 1 more (4 updates tracked since 2020).

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

NPI1629691142
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. KELLY KRISTINE SMITHCredential: FNP
Location Address271 E 138TH STBronx, NY 10454-2909
Mailing Address271 E 138th StBronx, NY 10454-2909 · (347) 407-7120
Phone(347) 407-7120
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 19, 2020
Last NPPES UpdateJune 4, 20264 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1629691142 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 NY · F345592-01
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.
271 E 138TH ST, Bronx, NY 10454
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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. 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.

PECOS PAC ID6507232089
PECOS Enrollment IDI20221025002017
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 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.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES

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

URBAN HEALTH PLAN, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
271 E 138TH ST
BRONX, NY 10454
Bronx County (347) 407-7120

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.

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 2 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.