MR. KAYODE KWESI SMITH KAYODE KWESI SMITH
NPI 1891004610
Nurse Practitioner - Family in Eagan, MN
About Mr. Kayode Kwesi Smith Kayode Kwesi Smith NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KAYODE KWESI SMITH KAYODE KWESI SMITH (NPI 1891004610) is an individual family provider in Eagan, Minnesota, licensed in Virginia (0024184376) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Brooklyn, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Mr. Kayode Kwesi Smith Kayode Kwesi Smith 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55121 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 Kayode Smith's NPI number?
The NPI number for Kayode Smith is 1891004610. It was assigned to this individual provider in the NPPES registry on September 28, 2010.
Where is Kayode Smith located?
Kayode Smith practices at PO Box 211699, Eagan, MN 55121. The listed phone number is (866) 849-0692.
What is Kayode Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kayode Smith enrolled in Medicare?
Yes. Kayode 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 Kayode Smith was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.
# Mr. Kayode Kwesi Smith, KAYODE KWESI SMITH · NPI 1891004610
Family physician in Eagan, Minnesota. Individual provider, active in the CMS NPPES registry since September 28, 2010.
## Identity
- **NPI:** 1891004610 (Entity type: Individual)
- **Enumerated:** September 28, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0024184376 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** PO BOX 211699, Eagan, MN 55121-3699
- **Phone:** (866) 849-0692 · **Fax:** (888) 973-8821
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** July 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1891004610) · Data from the CMS NPPES public registry.