ANNALISSA KAMMEYER SMITH
NPI 1710515887
Family Medicine in Fort Wayne, IN

Active since April 01, 2020PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
1818 CAREW ST STE 120, FORT WAYNE, IN 46805(260) 425-6200(260) 425-6205 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 30, 2023, Jul 3, 2023, Mar 22, 2021 and 3 more (6 updates tracked since 2020).

About Annalissa Kammeyer Smith NPPES

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

ANNALISSA KAMMEYER SMITH (NPI 1710515887) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (02007064A) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1710515887
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANNALISSA KAMMEYER SMITH
Location Address1818 CAREW ST STE 120Fort Wayne, IN 46805-4764
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 425-6205
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 1, 2020
Last NPPES UpdateAugust 30, 20236 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
NPI 1710515887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 02007064A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1818 CAREW ST STE 120, Fort Wayne, IN 46805

Other Names 1

Other Name (5)Annalissa Kammeyer

Accepted Insurance

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

Annalissa Kammeyer Smith 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 ID6800218561
PECOS Enrollment IDI20230715000247
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46805 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner
1818 CAREW ST STE 120
FORT WAYNE, IN 46805
Family Medicine
1818 CAREW ST STE 120
FORT WAYNE, IN 46805
Physician Assistant
1818 CAREW ST STE 120
FORT WAYNE, IN 46805
Family Medicine
1818 CAREW ST STE 120
FORT WAYNE, IN 46805
Nurse Practitioner
1818 CAREW ST STE 120
FORT WAYNE, IN 46805
Family Medicine
1818 CAREW ST STE 120
FORT WAYNE, IN 46805
Nurse Practitioner
1818 CAREW ST STE 120
FORT WAYNE, IN 46805
Nurse Practitioner
1818 CAREW ST STE 120
FORT WAYNE, IN 46805

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 Annalissa Smith's NPI number?

The NPI number for Annalissa Smith is 1710515887. It was assigned to this individual provider in the NPPES registry on April 1, 2020. The provider is also known as Annalissa Kammeyer.

Where is Annalissa Smith located?

Annalissa Smith practices at 1818 Carew St Ste 120, Fort Wayne, IN 46805. The listed phone number is (260) 425-6200.

What is Annalissa Smith's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Annalissa Smith enrolled in Medicare?

Yes. Annalissa 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.

What insurance does Annalissa Smith accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Annalissa 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.

Is Annalissa Smith affiliated with any hospitals?

According to CMS data, Annalissa Smith is affiliated with Parkview Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Annalissa Smith was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.