JUSTICE KAELYN SMITH APRN, FNP-C
NPI 1679258891
Nurse Practitioner - Family in Oklahoma City, OK

Active since June 15, 2023PECOS EnrolledAccepts Medicare Assignment
701 CEDAR LAKE BLVD STE 120, OKLAHOMA CITY, OK 73114(405) 445-1210 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Justice Kaelyn Smith Aprn, Fnp-c NPPES

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

JUSTICE KAELYN SMITH APRN, FNP-C (NPI 1679258891) is an individual family provider in Oklahoma City, Oklahoma, licensed in Oklahoma (213376) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1679258891
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJUSTICE KAELYN SMITHCredential: APRN, FNP-C
Location Address701 CEDAR LAKE BLVD STE 120Oklahoma City, OK 73114-7815
Mailing AddressPo Box 13620Oklahoma City, OK 73113-1629 · (405) 445-1210
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 15, 2023
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1679258891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OK · 213376
701 CEDAR LAKE BLVD STE 120, Oklahoma City, OK 73114

Accepted Insurance

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

Justice Kaelyn Smith Aprn, Fnp-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 ID9335508225
PECOS Enrollment IDI20230711000476
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Justice Smith reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
2424 SPRINGER DR STE 300
Norman, OK 73069
  • Reassigned Medicare billing, Oklahoma enrollment
  • 27 clinicians in this Medicare group
Family Medicine
6744 NW CACHE RD
Lawton, OK 73505
  • Reassigned Medicare billing, Oklahoma enrollment
  • 249 clinicians in this Medicare group
Clinic/Center
4312 S RETANA AVE
Broken Arrow, OK 74011
  • Reassigned Medicare billing, Oklahoma enrollment
  • 5 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 73114 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 8

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

Social Worker (Clinical)
701 CEDAR LAKE BLVD STE 120
OKLAHOMA CITY, OK 73114
Nurse Practitioner (Psychiatric/Mental Health)
701 CEDAR LAKE BLVD STE 120
OKLAHOMA CITY, OK 73114
Nurse Practitioner (Family)
701 CEDAR LAKE BLVD STE 120
OKLAHOMA CITY, OK 73114
Nurse Practitioner (Family)
701 CEDAR LAKE BLVD STE 120
OKLAHOMA CITY, OK 73114
Physical Therapist
701 CEDAR LAKE BLVD STE 120
OKLAHOMA CITY, OK 73114
Physical Medicine & Rehabilitation
701 CEDAR LAKE BLVD STE 120
OKLAHOMA CITY, OK 73114
Nurse Practitioner (Psychiatric/Mental Health)
701 CEDAR LAKE BLVD STE 120
OKLAHOMA CITY, OK 73114
Nurse Practitioner (Family)
701 CEDAR LAKE BLVD STE 120
OKLAHOMA CITY, OK 73114

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 Justice Smith's NPI number?

The NPI number for Justice Smith is 1679258891. It was assigned to this individual provider in the NPPES registry on June 15, 2023.

Where is Justice Smith located?

Justice Smith practices at 701 Cedar Lake Blvd Ste 120, Oklahoma City, OK 73114. The listed phone number is (405) 445-1210.

What is Justice Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Justice Smith enrolled in Medicare?

Yes. Justice 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 organizations bill Medicare for Justice Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justice Smith reassigns Medicare benefits to 3 organizations: Mobile Wound Care LLC (Norman, OK), Williams Medical Group Practice, LLC (Lawton, OK) and Apex Wound Specialists LLC (Broken Arrow, OK). Each 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 Justice Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justice Smith accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Mending Health and Oscar Insurance Company list Justice 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 Justice Smith was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.