KACI SMALLEY (APRN) – Nurse Practitioner, NPI 1780417907

KACI SMALLEY (APRN) is a healthcare provider. based in Hesston, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 5383521102 (KS). The NPI Number for KACI SMALLEY (APRN) is 1780417907

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
KACI SMALLEY (APRN)
NPI
1780417907
Phone
(316) 518-5991
Address
2 KNOTT CT
Enumeration Date
22 August 2024
Last Update Date
22 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3163127780
Graduation Year
2024 (2 years ago)
PAC ID
1355874819
Group Practice PAC ID
2567708142
Professional Enrollment ID
I20241023001825
Address ID
KS672066400WI1541XCIRX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

Provider Addresses for KACI SMALLEY (APRN)

  • 2 KNOTT CT

    HESSTON, KS 670629019

    Phone: (316) 518-5991

    Type: Mailing

  • 1541 N LINDBERG CIR

    WICHITA, KS 672066400

    Phone: (316) 358-6400

    Type: Location

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: 2024-10-23

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
I20241023001825INurse PractitionerKSTBD

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 67062)

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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: 2567708142View full group profile
NameSpecialtyState
H O S P I T A L I S TKS
Nurse PractitionerKS
-KS
Nurse PractitionerKS

Reviews

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Frequently asked questions

What identifier follows KACI SMALLEY (APRN) across health systems?
The NPI 1780417907 uniquely identifies KACI SMALLEY (APRN) in U.S. healthcare data.
Does the public listing show KACI SMALLEY (APRN) as active?
KACI SMALLEY (APRN)'s NPI record reflects an active status in NPPES.
What services align with KACI SMALLEY (APRN)'s listing?
KACI SMALLEY (APRN)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KACI SMALLEY (APRN) tied to Hesston, Kansas?
If you are local to Hesston, Kansas, KACI SMALLEY (APRN) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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