KELLY AMANDA SMITH MSN, RN, CPNP-PC/AC
NPI 1639694276
Nurse Practitioner - Pediatrics, Critical Care in Philadelphia, PA
About Kelly Amanda Smith Msn, Rn, Cpnp-pc/ac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY AMANDA SMITH MSN, RN, CPNP-PC/AC (NPI 1639694276) is an individual pediatrics, critical care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP017721) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Amanda Smith Msn, Rn, Cpnp-pc/ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
Houston, TX 77082
- Reassigned Medicare billing, Texas enrollment
- 32 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 19104 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 1639694276. It was assigned to this individual provider in the NPPES registry on August 4, 2017.
Where is Kelly Smith located?
Kelly Smith practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-1000.
What is Kelly Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.
Is Kelly Smith enrolled in Medicare?
Yes. Kelly Smith is registered in the Medicare PECOS enrollment system.
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 Nexus Physicians Services PLLC (Houston, TX). 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.
What insurance does Kelly Smith accept?
Health plans from Blue Cross and Blue Shield of Texas and CareSource 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.
When was this NPI record last updated?
The NPPES record for Kelly Smith was last updated on August 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kelly Amanda Smith, MSN, RN, CPNP-PC/AC · NPI 1639694276
Pediatrics, Critical Care physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 4, 2017.
## Identity
- **NPI:** 1639694276 (Entity type: Individual)
- **Enumerated:** August 4, 2017
- **Primary specialty:** Nurse Practitioner - Pediatrics, Critical Care · taxonomy 363LP0222X
- **State license:** SP017721 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3401 CIVIC CENTER BLVD, Philadelphia, PA 19104-4319
- **Phone:** (215) 590-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Nexus Physicians Services PLLC (NPI 1669765137, Houston, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 4, 2017
---
Source: [NPI Profile](https://npiprofile.com/npi/1639694276) · Data from the CMS NPPES public registry.