KELLY SMITH (DC) – Chiropractor, NPI 1386746469

KELLY SMITH (DC) is a healthcare provider. based in Port st lucie, Florida. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. CH7123 (FL). The NPI Number for KELLY SMITH (DC) is 1386746469

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
KELLY SMITH (DC)
NPI
1386746469
Phone
(772) 336-8600
Address
905 NE PRIMA VISTA BLVD
Enumeration Date
1 September 2006
Last Update Date
7 September 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7724609000
Graduation Year
1994 (32 years ago)
PAC ID
2163681123
Group Practice PAC ID
8527012020
Professional Enrollment ID
I20120309000645
Address ID
FL349825881FO805XXAVEX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,472 CHIROPRACTIC in FL

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Provider Addresses for KELLY SMITH (DC)

  • Northwest Airoso Boulevard & Prima Vista Boulevard, Northeast Airoso Boulevard, Port Saint Lucie, Saint Lucie County, Florida, 34983, United States

    SUITE E

    PORT ST LUCIE, FL 349522359

    Phone: (772) 336-8600

    Fax: (772) 336-0163

    Mailing address matches the actual address.

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: 2012-03-09

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
I20120309000645IChiropracticFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions5214$0
View full utilization report →

Insurance plans in this area (ZIP 34952)

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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: 8527012020View full group profile
NameSpecialtyState
C H I R O P R A C T I CFL
C H I R O P R A C T I CFL
C H I R O P R A C T I CFL

Reviews

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Frequently asked questions

Where can patients find KELLY SMITH (DC)'s NPI?
You can confirm KELLY SMITH (DC) with NPI 1386746469; it appears in the national provider directory.
Does this profile mean KELLY SMITH (DC) is currently active?
Yes — KELLY SMITH (DC) appears active in the national provider directory.
Can you summarize KELLY SMITH (DC)'s specialty in plain language?
Clinically, the directory lists KELLY SMITH (DC) with Chiropractor. Clinical services aligned with this taxonomy classification.
What location metadata exists for KELLY SMITH (DC)?
The page summarizes Port St Lucie, Florida for KELLY SMITH (DC); expand the address list for detail.
Is KELLY SMITH (DC) a real provider?
This page reflects official NPPES data for NPI 1386746469. Always confirm identity and privileges with the practice and licensing boards.

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