DIANNE KELLY SMITH (APRN) – Nurse Practitioner, NPI 1467919365
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for DIANNE KELLY SMITH (APRN)
7901 4TH ST N STE 300
SAINT PETERSBURG, FL 337024399
Phone: (305) 924-5397
Type: Mailing
PO BOX 409075
ATLANTA, GA 303849075
Phone: (615) 373-7600
Fax: (866) 347-1426
Type: Mailing
1000 MAR WALT DR
FORT WALTON BEACH, FL 325476708
Phone: (850) 864-0269
Fax: (850) 862-1163
Type: Location
4951 Highway 20 East
Suite 202F
Niceville, FL 32578
Phone: (850) 299-9943
Type: Location
4516 E HIGHWAY 20 # 168
NICEVILLE, FL 325789755
Phone: (850) 299-9943
Fax: (863) 594-1643
Type: Mailing
4951 HIGHWAY 20 EAST
SUITE 202F
NICEVILLE, FL 32578
Phone: (850) 299-9943
Type: Location
1000 Mar Walt Dr
Fort Walton Beach, FL 325476708
Phone: (850) 864-0269
Fax: (850) 862-1163
Type: Location
619 NW 6th Ave Fl 5
Portland, OR 972093964
Phone: (503) 988-7468
Type: Location
333, Business Circle, Pelham, Shelby County, Alabama, 35124, United States
PELHAM, AL 351241778
Phone: (205) 255-3828
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 $125.
Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.
Last reported payment date: 2024-04-25 • Largest payer in this snapshot: ABBVIE INC. ($125).
Total Amount
$125
General + Research + Ownership
Payments
2
Total payment records
General Amount
$125
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $125 |
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: 2023-03-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20190612002014 | I | Nurse Practitioner | AL | TBD |
| I20211123000646 | I | Nurse Practitioner | FL | TBD |
| I20230307002228 | I | Nurse Practitioner | OR | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 69 | 36 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 54 | 33 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 33702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OR | |
| - | OR | |
| Physician Assistant | OR | |
| Clinical Psychologist | OR | |
| - | OR | |
| Family Practice | OR | |
| Clinical Social Worker | OR | |
| Nurse Practitioner | WA | |
| Family Practice | OR | |
| - | OR |
Reviews
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