MS. KATHLEEN W. SMITH APN
NPI 1992109755
Clinical Nurse Specialist - Adult Health in Peoria, IL
About Ms. Kathleen W. Smith Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KATHLEEN W. SMITH APN (NPI 1992109755) is an individual adult health provider in Peoria, Illinois, licensed in Illinois (209012013) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
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
Ms. Kathleen W. Smith Apn 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 Reassignment
Medicare enrollment records show Kathleen Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 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 2
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mary Medical Center
Acute Care Hospitals · Galesburg, ILSaint Francis Medical Center
Acute Care Hospitals · Peoria, ILOsf Saint Luke Medical Center
Critical Access Hospitals · Kewanee, ILOsf Saint Clare Medical Center
Critical Access Hospitals · Princeton, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61636 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 Kathleen Smith's NPI number?
The NPI number for Kathleen Smith is 1992109755. It was assigned to this individual provider in the NPPES registry on October 22, 2014.
Where is Kathleen Smith located?
Kathleen Smith practices at 900 Main Street Suite 280, Peoria, IL 61636. The listed phone number is (309) 643-6118.
What is Kathleen Smith's specialty?
The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.
Is Kathleen Smith enrolled in Medicare?
Yes. Kathleen 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 organization bills Medicare for Kathleen Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Smith reassigns Medicare benefits to Osf Multi-Specialty Group (Peoria, IL). The 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 Kathleen Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kathleen Smith affiliated with any hospitals?
According to CMS data, Kathleen Smith is affiliated with St Mary Medical Center, Saint Francis Medical Center, Osf Saint Luke Medical Center and Osf Saint Clare Medical Center.
When was this NPI record last updated?
The NPPES record for Kathleen Smith was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ms. Kathleen W. Smith, APN · NPI 1992109755
Adult Health physician in Peoria, Illinois. Individual provider, active in the CMS NPPES registry since October 22, 2014.
## Identity
- **NPI:** 1992109755 (Entity type: Individual)
- **Enumerated:** October 22, 2014
- **Primary specialty:** Clinical Nurse Specialist - Adult Health · taxonomy 364SA2200X
- **State license:** 209012013 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 900 MAIN STREET SUITE 280, Peoria, IL 61636-4688
- **Phone:** (309) 643-6118 · **Fax:** (309) 517-7476
## 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:** Osf Multi-Specialty Group (NPI 1922445527, Peoria, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** July 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1992109755) · Data from the CMS NPPES public registry.