KYNDAL SMITH – Certified Registered Nurse Anesthetist, NPI 1003444787

KYNDAL SMITH is a healthcare provider. based in Miami shores, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 11019568 (FL). The NPI Number for KYNDAL SMITH is 1003444787

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
KYNDAL SMITH
NPI
1003444787
Phone
(305) 899-3000
Address
11300 NE 2ND AVE
Enumeration Date
30 March 2020
Last Update Date
9 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
6103209663
Group Practice PAC ID
0345146254
Professional Enrollment ID
I20220816001353
Address ID
FL326063813GA4101XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:6State licenses:1Digital endpointsOther names

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for KYNDAL SMITH

  • 11300 NE 2ND AVE

    MIAMI SHORES, FL 331616695

    Phone: (305) 899-3000

    Type: Location

  • 7439 MORNING DOVE TRL

    FANNING SPRINGS, FL 326937772

    Phone: (352) 578-4571

    Type: Mailing

  • 1600 SW ARCHER RD

    GAINESVILLE, FL 326103003

    Phone: (352) 265-0111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-08-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220816001353ICertified Registered Nurse Anesthetist (Crna)FLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33161)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345146254View full group profile

Reviews

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Frequently asked questions

How is KYNDAL SMITH identified in CMS data?
CMS-hosted NPPES data lists KYNDAL SMITH with NPI 1003444787.
Does the file indicate KYNDAL SMITH is practicing under active NPI?
Directory data currently reports KYNDAL SMITH as active.
What healthcare role does KYNDAL SMITH hold?
Scheduling teams often label KYNDAL SMITH under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does KYNDAL SMITH list a practice location?
Patients near Miami Shores, Florida may find KYNDAL SMITH in results; validate coverage separately.
Why does KYNDAL SMITH have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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