KAITLYN A SMART (APN) – Nurse Practitioner, NPI 1134680622

KAITLYN A SMART (APN) is a healthcare provider. based in Danville, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209019060 (IL). The NPI Number for KAITLYN A SMART (APN) is 1134680622

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KAITLYN A SMART (APN)
NPI
1134680622
Phone
(217) 442-3200
Address
210 AVENUE C
Enumeration Date
27 March 2019
Last Update Date
13 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8778839430
Graduation Year
2019 (7 years ago)
PAC ID
8325380249
Group Practice PAC ID
5193156115
Professional Enrollment ID
I20190425000408
Address ID
IL604113224CH490XXPLXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for KAITLYN A SMART (APN)

  • 210, Avenue C, Vermilion Heights, Danville, Vermilion County, Illinois, 61832, United States

    DANVILLE, IL 618325410

    Phone: (217) 442-3200

    Type: Location

  • 1900 East Main

    Danville, IL 61832

    Phone: (217) 280-8502

    Fax: (217) 759-2246

    Type: Location

  • 1900 E MAIN ST

    DANVILLE, IL 618325100

    Phone: (217) 280-8502

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $444.

Total Amount is formed as General ($444) + Research ($0) + Ownership ($0) = $444.

Last reported payment date: 2024-06-20 • Largest payer in this snapshot: ABBVIE INC. ($164).

Total Amount

$444

General + Research + Ownership

Payments

26

Total payment records

General Amount

$444

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-20

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: 2019-04-25

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
I20190425000408INurse PractitionerILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes5223$0
99204New patient office or other outpatient visit, 45-59 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 61832)

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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: 5193156115View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerMO
Nurse PractitionerOR
Nurse PractitionerMI
Nurse PractitionerIL
Nurse PractitionerIN
Internal MedicineWA
Internal MedicineIA
Nurse PractitionerCA
Nurse PractitionerMO

Reviews

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Frequently asked questions

Is there an official ID for KAITLYN A SMART (APN) in U.S. healthcare records?
The official identifier for KAITLYN A SMART (APN) is NPI 1134680622.
Is KAITLYN A SMART (APN) shown as active in public data?
Registry records indicate KAITLYN A SMART (APN) maintains an active NPI.
What expertise is attributed to KAITLYN A SMART (APN)?
KAITLYN A SMART (APN)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KAITLYN A SMART (APN) located near Danville?
KAITLYN A SMART (APN) currently maps to Danville, Illinois in this extract.
When was this NPI issued?
Enumeration for KAITLYN A SMART (APN) is noted as March 27, 2019 where the registry provides it.

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