KENDRA MAE BLACK-SMITH MD
NPI 1790866044
Pediatrics - Neonatal-Perinatal Medicine in Coeur D Alene, ID
About Kendra Mae Black-smith Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENDRA MAE BLACK-SMITH MD (NPI 1790866044) is an individual neonatal-perinatal medicine provider in Coeur D Alene, Idaho, licensed in Idaho (M14495) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kendra Mae Black-smith Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kendra Black-smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Richland, WA 99352
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: The Association Of Chrmc And University Physicians
- 1,443 clinicians in this Medicare group
Seattle, WA 98104
- Reassigned Medicare billing, Washington enrollment
- 4,364 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.
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.
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
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 Kendra Black-smith's NPI number?
The NPI number for Kendra Black-smith is 1790866044. It was assigned to this individual provider in the NPPES registry on October 17, 2006. The provider is also known as Kendra M Smith.
Where is Kendra Black-smith located?
Kendra Black-smith practices at 2003 Kootenai Health Way, Coeur D Alene, ID 83814. The listed phone number is (208) 625-5185.
What is Kendra Black-smith's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.
Is Kendra Black-smith enrolled in Medicare?
Yes. Kendra Black-smith is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kendra Black-smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kendra Black-smith reassigns Medicare benefits to 2 organizations: Association Of Chmc And University Physicians (Richland, WA) and The Association Of University Physicians (Seattle, WA). 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 Kendra Black-smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kendra Black-smith accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kendra Black-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 Kendra Black-smith was last updated on April 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Kendra Mae Black-Smith, MD · NPI 1790866044
Neonatal-Perinatal Medicine physician in Coeur D Alene, Idaho. Individual provider, active in the CMS NPPES registry since October 17, 2006.
## Identity
- **NPI:** 1790866044 (Entity type: Individual)
- **Enumerated:** October 17, 2006
- **Primary specialty:** Pediatrics - Neonatal-Perinatal Medicine · taxonomy 2080N0001X
- **State license:** M14495 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 2003 KOOTENAI HEALTH WAY, Coeur D Alene, ID 83814
- **Phone:** (208) 625-5185 · **Fax:** (208) 625-6892
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Association Of Chmc And University Physicians (NPI 1851680664, Richland, WA); The Association Of University Physicians (NPI 1023041159, Seattle, WA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 3, 2019
- **Other identifiers:** Medicaid 8269235 (WA); Other 272030
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Source: [NPI Profile](https://npiprofile.com/npi/1790866044) · Data from the CMS NPPES public registry.