MRS. KIMBERLEY SMITH NP
NPI 1942612890
Nurse Practitioner - Primary Care in Goldsboro, NC
About Mrs. Kimberley Smith Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KIMBERLEY SMITH NP (NPI 1942612890) is an individual primary care provider in Goldsboro, North Carolina, licensed in North Carolina (5007058) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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 and accepts Medicare assignment
Mrs. Kimberley Smith Np 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
2Medicare enrollment records show Kimberley Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Goldsboro, NC 27534
- Reassigned Medicare billing, North Carolina enrollment
- 173 clinicians in this Medicare group
Greenville, NC 27834
- Reassigned Medicare billing, North Carolina enrollment
- 1,097 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 5
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 27530 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Kimberley Smith's NPI number?
The NPI number for Kimberley Smith is 1942612890. It was assigned to this individual provider in the NPPES registry on May 27, 2014.
Where is Kimberley Smith located?
Kimberley Smith practices at 623 Country Day Rd, Goldsboro, NC 27530. The listed phone number is (919) 330-1940.
What is Kimberley Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Kimberley Smith enrolled in Medicare?
Yes. Kimberley 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 Kimberley Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberley Smith reassigns Medicare benefits to 2 organizations: Goshen Medical Center Incorporated (Goldsboro, NC) and East Carolina Anesthesia Associates, PLLC (Greenville, 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 Kimberley Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberley Smith accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 2 other insurers list Kimberley 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 Kimberley Smith was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 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.
# Mrs. Kimberley Smith, NP · NPI 1942612890
Primary Care physician in Goldsboro, North Carolina. Individual provider, active in the CMS NPPES registry since May 27, 2014.
## Identity
- **NPI:** 1942612890 (Entity type: Individual)
- **Enumerated:** May 27, 2014
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 5007058 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 623 COUNTRY DAY RD, Goldsboro, NC 27530-8888
- **Phone:** (919) 330-1940
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Goshen Medical Center Incorporated (NPI 1255456794, Goldsboro, NC); East Carolina Anesthesia Associates, PLLC (NPI 1205996519, Greenville, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** September 24, 2026
- **Other identifiers:** Other MM3255862 (NC); Other 5007058 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1942612890) · Data from the CMS NPPES public registry.