MRS. KACY H. NESMITH (FNP) – Family Nurse Practitioner, NPI 1023408523

MRS. KACY H. NESMITH (FNP) is a healthcare provider. based in Statesboro, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. RN173353 (GA). The NPI Number for MRS. KACY H. NESMITH (FNP) is 1023408523

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KACY H. NESMITH (FNP)
NPI
1023408523
Phone
(912) 871-2273
Address
1140 BRAMPTON AVE
Enumeration Date
4 February 2015
Last Update Date
11 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9128712273128
Graduation Year
2014 (12 years ago)
PAC ID
8921326919
Group Practice PAC ID
6608914056
Professional Enrollment ID
I20150423002392
Address ID
GA304580847ST1140XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for MRS. KACY H. NESMITH (FNP)

  • 1140 BRAMPTON AVE

    STATESBORO, GA 304580847

    Phone: (912) 871-2273

    Fax: (912) 871-2274

    Type: Mailing

  • 1098 BERMUDA RUN

    SUITE 6

    STATESBORO, GA 30458

    Phone: (912) 681-6334

    Fax: (912) 623-2319

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $514.

Total Amount is formed as General ($514) + Research ($0) + Ownership ($0) = $514.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Novo Nordisk Inc ($138).

Total Amount

$514

General + Research + Ownership

Payments

30

Total payment records

General Amount

$514

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-04-23

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
I20150423002392INurse PractitionerGATBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes29377$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes12455$0
J1100Injection, dexamethasone sodium phosphate, 1 mg9611$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes5536$0
J0696Injection, ceftriaxone sodium, per 250 mg5212$0
View full utilization report →

Insurance plans in this area (ZIP 30458)

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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: 6608914056View full group profile
NameSpecialtyState
Nurse PractitionerGA
Physician AssistantGA
Nurse PractitionerGA
Family PracticeGA
Family PracticeGA
Nurse PractitionerGA
Family PracticeGA

Reviews

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Frequently asked questions

What number should I use to identify MRS. KACY H. NESMITH (FNP) for billing?
Administrative and clinical systems typically use NPI 1023408523 for MRS. KACY H. NESMITH (FNP).
Is MRS. KACY H. NESMITH (FNP) currently accepting referrals based on NPI status?
Registry metadata lists MRS. KACY H. NESMITH (FNP) as active.
What does the directory say MRS. KACY H. NESMITH (FNP) does?
Insurance directories may phrase it differently, but here MRS. KACY H. NESMITH (FNP) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. KACY H. NESMITH (FNP) tied to Statesboro, Georgia?
If you are local to Statesboro, Georgia, MRS. KACY H. NESMITH (FNP) may be relevant to your search.
Can I export MRS. KACY H. NESMITH (FNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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