MS. KRISTEN DIANE SMITH M.D.
NPI 1780918540
Pediatrics in Joliet, IL
About Ms. Kristen Diane Smith M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KRISTEN DIANE SMITH M.D. (NPI 1780918540) is an individual pediatrics provider in Joliet, Illinois, licensed in Illinois (125-055924) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Crown Point.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Kristen Diane Smith M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kristen Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mishawaka, IN 46544
- Reassigned Medicare billing, Indiana enrollment
- 1,396 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 60435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kristen Smith's NPI number?
The NPI number for Kristen Smith is 1780918540. It was assigned to this individual provider in the NPPES registry on September 28, 2009. The provider is also known as Dr. Kristen Diane Mccord M.D..
Where is Kristen Smith located?
Kristen Smith practices at 2100 Glenwood Ave, Joliet, IL 60435. The listed phone number is (815) 725-2121.
What is Kristen Smith's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Kristen Smith enrolled in Medicare?
Yes. Kristen Smith is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kristen Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Smith reassigns Medicare benefits to Franciscan Physician Network (Mishawaka, IN). The 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 Kristen Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kristen Smith was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Ms. Kristen Diane Smith, M.D. · NPI 1780918540
Pediatrics physician in Joliet, Illinois. Individual provider, active in the CMS NPPES registry since September 28, 2009.
## Identity
- **NPI:** 1780918540 (Entity type: Individual)
- **Enumerated:** September 28, 2009
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 125-055924 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2100 GLENWOOD AVE, Joliet, IL 60435-5487
- **Phone:** (815) 725-2121
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Franciscan Physician Network (NPI 1366879009, Mishawaka, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 16, 2025
- **Other identifiers:** Medicaid 036130223 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1780918540) · Data from the CMS NPPES public registry.