MRS. KANITA SMITH AGNP-C
NPI 1689216566
Nurse Practitioner - Gerontology in Rockwall, TX

Active since October 12, 2019PECOS EnrolledAccepts Medicare Assignment
1201 ARISTA DR STE 105, ROCKWALL, TX 75032(469) 757-8149(888) 927-0535 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 1, 2026, Dec 30, 2020, Oct 12, 2019 (3 updates tracked since 2019).

About Mrs. Kanita Smith Agnp-c NPPES

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

MRS. KANITA SMITH AGNP-C (NPI 1689216566) is an individual gerontology provider in Rockwall, Texas, licensed in Texas (AP143454) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lewisville, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1689216566
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. KANITA SMITHCredential: AGNP-C
Location Address1201 ARISTA DR STE 105Rockwall, TX 75032-6860
Mailing Address1201 Arista Dr Ste 105Rockwall, TX 75032-6860 · (469) 757-8149 · Fax (888) 927-0535
Fax(888) 927-0535
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 12, 2019
Last NPPES UpdateJune 1, 20263 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1689216566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in TX · AP143454
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License AP143454 (TX)
1201 ARISTA DR STE 105, Rockwall, TX 75032

Secondary Practice Location 1

Location 1314 W Main St Ste 700Lewisville, TX 75057-3866 · Phone (972) 316-2035 · Fax (972) 315-1507

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

Mrs. Kanita Smith Agnp-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 ID8224441068
PECOS Enrollment IDI20210115000743
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

2

Medicare enrollment records show Kanita Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
1201 ARISTA DR STE 105
Rockwall, TX 75032
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Texas enrollment
  • 1,246 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 75032 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 3

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

Nurse Practitioner (Family)
1201 ARISTA DR STE 105
ROCKWALL, TX 75032
General Practice
1201 ARISTA DR STE 105
ROCKWALL, TX 75032
Internal Medicine (Rheumatology)
1201 ARISTA DR STE 105
ROCKWALL, TX 75032

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 Kanita Smith's NPI number?

The NPI number for Kanita Smith is 1689216566. It was assigned to this individual provider in the NPPES registry on October 12, 2019.

Where is Kanita Smith located?

Kanita Smith practices at 1201 Arista Dr Ste 105, Rockwall, TX 75032. The listed phone number is (469) 757-8149.

What is Kanita Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Kanita Smith enrolled in Medicare?

Yes. Kanita 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 Kanita Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kanita Smith reassigns Medicare benefits to 2 organizations: Cornerstone Medical Rockwall PLLC (Rockwall, TX) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Kanita Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kanita Smith accept?

Health plans from Blue Cross and Blue Shield of Texas list Kanita 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 Kanita Smith was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.