MRS. KONDI O WALTERS-SMITH CRNP
NPI 1780190595
Nurse Practitioner - Family in Columbia, MD

Active since December 18, 2017PECOS EnrolledAccepts Medicare Assignment
12114 BLUE FLAG WAY, COLUMBIA, MD 21044(301) 741-0307 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 7, 2023, Jan 19, 2018, Dec 18, 2017 (3 updates tracked since 2017).

About Mrs. Kondi O Walters-smith Crnp NPPES

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

MRS. KONDI O WALTERS-SMITH CRNP (NPI 1780190595) is an individual family provider in Columbia, Maryland, licensed in Maryland (R180720) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1780190595
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KONDI O WALTERS-SMITHCredential: CRNP
Location Address12114 BLUE FLAG WAYColumbia, MD 21044-2753
Mailing Address12114 Blue Flag WayColumbia, MD 21044-2753 · (301) 741-0307
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 18, 2017
Last NPPES UpdateJune 7, 20233 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
NPI 1780190595 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 MD · R180720
12114 BLUE FLAG WAY, Columbia, MD 21044

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

Mrs. Kondi O Walters-smith Crnp 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 ID5496269391
PECOS Enrollment IDI20250710002421, I20250806003324, I20251231000229
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 21044 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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

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

Clinic/Center (Multi-Specialty)
12114 BLUE FLAG WAY
COLUMBIA, MD 21044

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 Kondi Walters-smith's NPI number?

The NPI number for Kondi Walters-smith is 1780190595. It was assigned to this individual provider in the NPPES registry on December 18, 2017.

Where is Kondi Walters-smith located?

Kondi Walters-smith practices at 12114 Blue Flag Way, Columbia, MD 21044. The listed phone number is (301) 741-0307.

What is Kondi Walters-smith's specialty?

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

Is Kondi Walters-smith enrolled in Medicare?

Yes. Kondi Walters-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.

When was this NPI record last updated?

The NPPES record for Kondi Walters-smith was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.