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DR. KEVIN LEE SMITH DNP
NPI 1679531024
Nurse Practitioner - Family in Minneapolis, MN

Active since May 03, 2006PECOS Enrolled
6655 CORTLAWN CIR S, MINNEAPOLIS, MN 55426(763) 639-5327 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 30, 2021, May 9, 2017, Dec 31, 2015 (3 updates tracked since 2015).

About Dr. Kevin Lee Smith Dnp NPPES

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

DR. KEVIN LEE SMITH DNP (NPI 1679531024) is an individual family provider in Minneapolis, Minnesota, licensed in Minnesota (R096446-3) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679531024
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. KEVIN LEE SMITHCredential: DNP
Location Address6655 CORTLAWN CIR SMinneapolis, MN 55426-1557
Mailing Address18510 25th Ave NPlymouth, MN 55447-2016 · (763) 639-5327
Phone(763) 639-5327
Sole ProprietorNo
Enumeration DateMay 3, 2006
Last NPPES UpdateJune 30, 20213 updates tracked since enumeration
NPPES CertifiedJune 30, 2021
✔ NPI 1679531024 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 MN · R096446-3
6655 CORTLAWN CIR S, Minneapolis, MN 55426
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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 (PECOS)

Dr. Kevin Lee Smith Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 55426 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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 Kevin Smith's NPI number?

The NPI number for Kevin Smith is 1679531024. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Kevin Smith located?

Kevin Smith practices at 6655 Cortlawn Cir S, Minneapolis, MN 55426. The listed phone number is (763) 639-5327.

What is Kevin Smith's specialty?

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

Is Kevin Smith enrolled in Medicare?

Yes. Kevin Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Smith was last updated on June 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.