TAMARA KRISTIN SMITH (ARNP) – Clinical Nurse Specialist, NPI 1699723064

TAMARA KRISTIN SMITH (ARNP) is a healthcare provider. based in Andover, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. 74387 (KS). The NPI Number for TAMARA KRISTIN SMITH (ARNP) is 1699723064

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
TAMARA KRISTIN SMITH (ARNP)
NPI
1699723064
Phone
(316) 733-4209
Address
142 LIOBA DR
Enumeration Date
5 May 2006
Last Update Date
21 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3166511201
Graduation Year
2023 (3 years ago)
PAC ID
7911941083
Group Practice PAC ID
1153400197
Professional Enrollment ID
I20050620000508
Address ID
KS672083673WI555XXSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

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Provider Addresses for TAMARA KRISTIN SMITH (ARNP)

  • 142, Lioba Drive, Prairie Village, Andover, Butler County, Kansas, 67002, United States

    ANDOVER, KS 670029763

    Phone: (316) 733-4209

    Fax: (316) 733-4209

    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)

CMS reports 20 Open Payments records for all available years, with a total value of $372.

Total Amount is formed as General ($372) + Research ($0) + Ownership ($0) = $372.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: IRONSHORE PHARMACEUTICALS INC. ($198).

Total Amount

$372

General + Research + Ownership

Payments

20

Total payment records

General Amount

$372

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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: 2025-10-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050620000508INurse PractitionerKSTBD
I20251013001258ICertified Clinical Nurse Specialist (Cns)KSTBD

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 67002)

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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: 1153400197View full group profile
NameSpecialtyState
-KS
Mental Health CounselorKS
-KS
P S Y C H I A T R YKS
Nurse PractitionerKS
Marriage And Family TherapistKS
Clinical Social WorkerKS
Mental Health CounselorKS
Nurse PractitionerKS
Clinical Social WorkerKS

Reviews

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Frequently asked questions

How is TAMARA KRISTIN SMITH (ARNP) identified in CMS data?
CMS-hosted NPPES data lists TAMARA KRISTIN SMITH (ARNP) with NPI 1699723064.
Does the file indicate TAMARA KRISTIN SMITH (ARNP) is practicing under active NPI?
Directory data currently reports TAMARA KRISTIN SMITH (ARNP) as active.
What is TAMARA KRISTIN SMITH (ARNP)'s specialty?
The listing groups TAMARA KRISTIN SMITH (ARNP) with Clinical Nurse Specialist. Clinical services aligned with this taxonomy classification.
Where should I expect TAMARA KRISTIN SMITH (ARNP) on a map?
Expect Andover, Kansas as a primary anchor for TAMARA KRISTIN SMITH (ARNP) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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