MS. KIMBERLY LANE SMITH (APRN) – Family Nurse Practitioner, NPI 1508411562

MS. KIMBERLY LANE SMITH (APRN) is a healthcare provider. based in Owenton, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3013682 (KY). The NPI Number for MS. KIMBERLY LANE SMITH (APRN) is 1508411562

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MS. KIMBERLY LANE SMITH (APRN)
NPI
1508411562
Phone
(502) 514-1778
Address
311 ROLAND AVE
Enumeration Date
7 August 2019
Last Update Date
23 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
9133459753
Group Practice PAC ID
5092787606
Professional Enrollment ID
I20190925000888
Address ID
KY410081435CA309XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for MS. KIMBERLY LANE SMITH (APRN)

  • 311, Roland Avenue, Owenton, Owen County, Kentucky, 40359, United States

    OWENTON, KY 403591505

    Phone: (502) 514-1778

    Type: Mailing

  • 202 FRANKLIN STREET

    WARSAW, KY 41095

    Phone: (859) 567-2754

    Fax: (859) 567-5108

    Type: Location

  • Carroll County Memorial Hospital, 309, 11th Street, Carrollton, Carroll County, Kentucky, 41008, United States

    CARROLLTON, KY 410081435

    Phone: (502) 732-3280

    Fax: (502) 575-6234

    Type: Location

  • 309 11TH ST

    CARROLLTON, KY 410081435

    Phone: (502) 732-3280

    Fax: (502) 575-6234

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 69 Open Payments records for all available years, with a total value of $1,189.

Total Amount is formed as General ($1,189) + Research ($0) + Ownership ($0) = $1,189.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($477).

Total Amount

$1,189

General + Research + Ownership

Payments

69

Total payment records

General Amount

$1,189

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2019-09-25

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
I20190925000888INurse PractitionerKYTBD

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 40359)

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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: 5092787606View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Internal MedicineKY
P O D I A T R YKY

Reviews

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Frequently asked questions

What unique ID ties claims to MS. KIMBERLY LANE SMITH (APRN)?
NPI 1508411562 is assigned to MS. KIMBERLY LANE SMITH (APRN) under the national enumeration system.
Is MS. KIMBERLY LANE SMITH (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MS. KIMBERLY LANE SMITH (APRN)?
The page reflects Family Nurse Practitioner for MS. KIMBERLY LANE SMITH (APRN). Clinical services aligned with this taxonomy classification.
What location metadata exists for MS. KIMBERLY LANE SMITH (APRN)?
The page summarizes Owenton, Kentucky for MS. KIMBERLY LANE SMITH (APRN); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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