Kimberly Kristi Smith, APRN-NP in Grants Pass, OR

Kimberly Kristi Smith, APRN-NP is a medicare enrolled "Nurse Practitioner - Family" in Grants Pass, Oregon. Her current practice location is 1701 Nw Hawthorne Ave, Grants Pass, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 471-3455.

Kimberly Kristi Smith is licensed to practice in Oregon (license number 10012858) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1316628860.

Contact Information

	Kimberly Kristi Smith, APRN-NP
	1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051
	(541) 471-3455
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly Kristi Smith
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1701 Nw Hawthorne Ave, Grants Pass, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316628860
Provider Enumeration Date: 07/27/2023
Last Update Date: 07/27/2023

Medicare PECOS Information:

PECOS PAC ID: 4183071509
Enrollment ID: I20231107001929

Medical Identifiers

Medical identifiers for Kimberly Kristi Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316628860	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	10012858 (Oregon)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Kristi Smith allows following entities to bill medicare on her behalf.

Entity Name	Siskiyou Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427046903 PECOS PAC ID: 6305747288 Enrollment ID: O20040114000536

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Kristi Smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kimberly Kristi Smith, APRN-NP 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051 Ph: (541) 471-3455	Kimberly Kristi Smith, APRN-NP 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051 Ph: (541) 471-3455

Reviews and Comments

Nurse Practitioner Nurses in Grants Pass, OR

Ms. Catherine Chiaradonna, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1867 Williams Hwy Ste 226, Grants Pass, OR 97527 Phone: 877-672-8620
Cathryn Diann Draper, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 520 Sw Ramsey Ave Ste 204, Grants Pass, OR 97527 Phone: 541-930-7223 Fax: 541-930-7221
Deborah Lynn Rossel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Nw 6th St, Grants Pass, OR 97526 Phone: 541-916-5500 Fax: 541-916-5010
Krista Fuqua, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1585 Nw Washington Blvd, Grants Pass, OR 97526 Phone: 541-474-5511
Laura Lynn Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1619 Nw Hawthorne Ave Ste 204, Grants Pass, OR 97526 Phone: 541-916-8530 Fax: 541-916-8533
Mona Kaahu, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 Nw Hawthorne Ave, Grants Pass, OR 97526 Phone: 541-471-3455 Fax: 541-471-9242
Ms. Charlane A Frazier, WHCNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 160 Nw Franklin Blvd, Grants Pass, OR 97526 Phone: 541-474-2784 Fax: 541-474-0638

Kimberly Kristi Smith, APRN-NP - Medicare Nurse Practitioner in Grants Pass, OR