COLLEEN M KENNEDY SMITH (CRNP) – Nurse Practitioner, NPI 1750375911
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
6,767 NURSE PRACTITIONER in MD
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Provider Addresses for COLLEEN M KENNEDY SMITH (CRNP)
Shady Grove Road, King Farm, Rockville, Montgomery County, Maryland, 20880, United States
SUITE 150
ROCKVILLE, MD 208508700
Phone: (301) 340-3252
Fax: (301) 340-1423
Type: Location
12510 PROSPERITY DR
SUITE 200
SILVER SPRING, MD 209041663
Phone: (240) 485-5200
Fax: (301) 625-6906
Type: Mailing
520 N ELAM AVE
GREENSBORO, NC 274031127
Phone: (336) 547-1745
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $124.
Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($43).
Total Amount
$124
General + Research + Ownership
Payments
6
Total payment records
General Amount
$124
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2020-02-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200211000288 | I | Nurse Practitioner | NC | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 82 | 77 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 36 | 29 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 35 | 33 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 34 | 34 | $0 |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 25 | 24 | $0 |
Insurance plans in this area (ZIP 20850)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Family Practice | NC | |
| Pulmonary Disease, Critical Care (Intensivists), Hospice/Palliative Care | NC | |
| - | NC | |
| G A S T R O E N T E R O L O G Y | NC | |
| - | NC | |
| Nurse Practitioner | NC | |
| Internal Medicine | NC | |
| Family Practice | NC | |
| - | NC | |
| N E U R O L O G Y | OH |
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