Ms Kathleen W Smith, APN - Medicare in Peoria, IL

Ms Kathleen W Smith, APN is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in Peoria, Illinois. Her current practice location is 900 Main Street Suite 280, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 643-6118.

Ms Kathleen W Smith is licensed to practice in Illinois (license number 209012013) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1992109755.

Contact Information

Ms Kathleen W Smith, APN
900 Main Street Suite 280,
Peoria, IL 61636-4688
(309) 643-6118
(309) 517-7476

Map and Direction




Provider's Profile

Full NameMs Kathleen W Smith
GenderFemale
Speciality
Experience Years
Location900 Main Street Suite 280, Peoria, Illinois
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Kathleen W Smith attended and graduated from in
  NPI Data:
  • NPI Number: 1992109755
  • Provider Enumeration Date: 10/22/2014
  • Last Update Date: 07/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Ms Kathleen W Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992109755NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209.012013 (Illinois)Secondary
364SA2200XClinical Nurse Specialist - Adult Health 209012013 (Illinois)Primary

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. Ms Kathleen W 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 AddressPractice Location Address
Ms Kathleen W Smith, APN
10611 N Sleepy Hollow Rd,
Peoria, IL 61615-1121

Ph: (309) 712-1363
Ms Kathleen W Smith, APN
900 Main Street Suite 280,
Peoria, IL 61636-4688

Ph: (309) 643-6118

Reviews and Comments


Clinical Nurse Specialist Nurses in Peoria, IL

Cheryl Herrmann,
Clinical Nurse Specialist
Medicare: May Accept Medicare Assignments
Practice Location: 112 Ne Crescent Ave, Peoria, IL 61606
Phone: 309-672-4670    
Ms. Colleen Susanne Cushing Ragon, APN, CNS
Clinical Nurse Specialist
Medicare: Medicare Enrolled
Practice Location: 8940 N Wood Sage Rd, Peoria, IL 61615
Phone: 309-243-3000    Fax: 309-243-3274
Mrs. Heather A Boore, APN, CNS-BC
Clinical Nurse Specialist
Medicare: Medicare Enrolled
Practice Location: 420 Ne Glen Oak Ave, Suite 401, Peoria, IL 61603
Phone: 309-624-9844    
Mrs. Jessica M Stewart, CNS
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 8940 N Wood Sage Rd, Peoria, IL 61615
Phone: 309-243-3000    Fax: 309-243-3215
Mckenzie Regan Likes, APN-C
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636
Phone: 309-672-5522    
Sarah E Dominique, APN CDE
Clinical Nurse Specialist
Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-624-2480    
Melissa R Norris, CNS
Clinical Nurse Specialist
Medicare: Medicare Enrolled
Practice Location: 3525 N University St, Peoria, IL 61604
Phone: 309-886-9172    Fax: 309-509-4045

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.