KIMBERLY DAWN SMITH (ARNP) – Primary Care Nurse Practitioner, NPI 1356717862
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for KIMBERLY DAWN SMITH (ARNP)
20 HAZELWOOD DR
PELL CITY, AL 351253382
Phone: (205) 338-8008
Fax: (205) 338-8009
Type: Location
4400 E HIGHWAY 20
SUITE 203
NICEVILLE, FL 325788779
Phone: (850) 897-3678
Fax: (850) 897-3708
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $42.
Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.
Last reported payment date: 2024-01-25 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($28).
Total Amount
$42
General + Research + Ownership
Payments
2
Total payment records
General Amount
$42
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $28 |
| Lilly USA, LLC | $13 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-10-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151218000672 | I | Nurse Practitioner | FL | TBD |
| I20241023003094 | I | Nurse Practitioner | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 205 | 37 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 116 | 105 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 108 | 31 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 90 | 84 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 87 | 59 | $0 |
Insurance plans in this area (ZIP 35125)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Family Practice | KY | |
| Nurse Practitioner | LA | |
| General Surgery | AL | |
| - | AL | |
| Physician Assistant | AL | |
| Nurse Practitioner | AL | |
| Emergency Medicine, Family Practice | AL | |
| General Surgery | AL | |
| - | AL |
Reviews
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