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MCKENNA IRENE SMITH FNP-C, DNP, APRN
NPI 1811739907
Nurse Practitioner - Family in South Jordan, UT

Active since June 10, 2024PECOS EnrolledAccepts Medicare Assignment
10654 S RIVER HEIGHTS DR STE 210, SOUTH JORDAN, UT 84095(801) 335-6728 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 24, 2025, Nov 13, 2025, Jun 10, 2024 (3 updates tracked since 2024).

About Mckenna Irene Smith Fnp-c, Dnp, Aprn NPPES

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

MCKENNA IRENE SMITH FNP-C, DNP, APRN (NPI 1811739907) is an individual family provider in South Jordan, Utah, licensed in Utah (12646883-4405) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2025).

NPPES Registry Identity

NPI1811739907
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMCKENNA IRENE SMITHCredential: FNP-C, DNP, APRN
Location Address10654 S RIVER HEIGHTS DR STE 210South Jordan, UT 84095-5541
Mailing Address10654 S River Heights Dr Ste 210South Jordan, UT 84095-5541 · (801) 569-1456 · Fax (801) 565-7931
Phone(801) 335-6728
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2025
Enumeration DateJune 10, 2024
Last NPPES UpdateNovember 24, 20253 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
✔ NPI 1811739907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in UT · 12646883-4405
Also ListedRegistered NurseTaxonomy 163W00000X · License 12646883-3102 (UT)
10654 S RIVER HEIGHTS DR STE 210, South Jordan, UT 84095
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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

Mckenna Irene Smith Fnp-c, Dnp, Aprn 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 ID3870087737
PECOS Enrollment IDI20251209002761
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 84095 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

MS. SHAWNA NICOLE HEAPS FNP
Nurse Practitioner (Family)
10654 S RIVER HEIGHTS DR STE 210
SOUTH JORDAN, UT 84095
Salt Lake County (801) 569-1456

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 Mckenna Smith's NPI number?

The NPI number for Mckenna Smith is 1811739907. It was assigned to this individual provider in the NPPES registry on June 10, 2024.

Where is Mckenna Smith located?

Mckenna Smith practices at 10654 S River Heights Dr Ste 210, South Jordan, UT 84095. The listed phone number is (801) 335-6728.

What is Mckenna Smith's specialty?

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

Is Mckenna Smith enrolled in Medicare?

Yes. Mckenna 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 Mckenna Smith was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.