KIM W SMITH NP C
NPI 1811223464
Nurse Practitioner - Family in Fayetteville, NC
About Kim W Smith Np C NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIM W SMITH NP C (NPI 1811223464) is an individual family provider in Fayetteville, North Carolina, licensed in North Carolina (132460) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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
Kim W Smith Np 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.
Medicare Billing Reassignments
5Medicare enrollment records show Kim Smith reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fayetteville, NC 28314
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Carter Clinic, P A
- 18 clinicians in this Medicare group
Fayetteville, NC 28303
- Reassigned Medicare billing, North Carolina enrollment
- 37 clinicians in this Medicare group
Greensboro, NC 27406
- Reassigned Medicare billing, North Carolina enrollment
- 2 clinicians in this Medicare group
Greensboro, NC 27408
- Reassigned Medicare billing, North Carolina enrollment
- 2 clinicians in this Medicare group
Mayodan, NC 27027
- Reassigned Medicare billing, North Carolina enrollment
- 4 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.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28314 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kim Smith's NPI number?
The NPI number for Kim Smith is 1811223464. It was assigned to this individual provider in the NPPES registry on November 2, 2009. The provider is also known as Kim W Smith Fnp.
Where is Kim Smith located?
Kim Smith practices at 5817 Tuckertown Ln, Fayetteville, NC 28314. The listed phone number is (336) 339-1163.
What is Kim Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kim Smith enrolled in Medicare?
Yes. Kim 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 Kim Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kim Smith reassigns Medicare benefits to 5 organizations: Carter Clinic, PA (Fayetteville, NC), Haymount Institute For Psychological Services, PLLC (Fayetteville, NC), Navi Care LLC (Greensboro, NC), Integrated Healthcare Solutions Of Nc LLC (Greensboro, NC) and Positive Pathways LLC (Mayodan, NC). 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 Kim Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kim Smith accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 4 other insurers list Kim 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 Kim Smith was last updated on December 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Kim W Smith, NP C · NPI 1811223464
Family physician in Fayetteville, North Carolina. Individual provider, active in the CMS NPPES registry since November 2, 2009.
## Identity
- **NPI:** 1811223464 (Entity type: Individual)
- **Enumerated:** November 2, 2009
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 132460 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5817 TUCKERTOWN LN, Fayetteville, NC 28314-1375
- **Phone:** (336) 339-1163
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Carter Clinic, PA (NPI 1083971642, Fayetteville, NC); Haymount Institute For Psychological Services, PLLC (NPI 1114490984, Fayetteville, NC); Navi Care LLC (NPI 1518762152, Greensboro, NC); Integrated Healthcare Solutions Of Nc LLC (NPI 1174131213, Greensboro, NC); Positive Pathways LLC (NPI 1629821681, Mayodan, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** December 8, 2013
- **Other identifiers:** Medicaid 7004844 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1811223464) · Data from the CMS NPPES public registry.