COLLEEN M KENNEDY SMITH (CRNP) – Nurse Practitioner, NPI 1750375911

COLLEEN M KENNEDY SMITH (CRNP) is a healthcare provider. based in Rockville, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 319217 (NC). The NPI Number for COLLEEN M KENNEDY SMITH (CRNP) is 1750375911

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
COLLEEN M KENNEDY SMITH (CRNP)
NPI
1750375911
Phone
(301) 340-3252
Address
14955 SHADY GROVE RD
Enumeration Date
2 September 2005
Last Update Date
13 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3365471700
Graduation Year
1996 (30 years ago)
PAC ID
4789604562
Group Practice PAC ID
2769395458
Professional Enrollment ID
I20200211000288
Address ID
NC274031127GR520XXAVEX400

Contacts

Secure Messaging
ckennedysmith500850@direct.conehealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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

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: 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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200211000288INurse PractitionerNCTBD

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 minutes8277$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count3629$0
80053Blood test, comprehensive group of blood chemicals3533$0
99204New patient office or other outpatient visit, 45-59 minutes3434$0
85027Complete blood cell count (red cells, white blood cell, platelets), automated test2524$0
View full utilization report →

Insurance plans in this area (ZIP 20850)

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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: 2769395458View full group profile
NameSpecialtyState
Family PracticeNC
Pulmonary Disease, Critical Care (Intensivists), Hospice/Palliative CareNC
-NC
G A S T R O E N T E R O L O G YNC
-NC
Nurse PractitionerNC
Internal MedicineNC
Family PracticeNC
-NC
N E U R O L O G YOH

Reviews

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Frequently asked questions

What is COLLEEN M KENNEDY SMITH (CRNP)'s NPI number?
COLLEEN M KENNEDY SMITH (CRNP)'s NPI is 1750375911 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to COLLEEN M KENNEDY SMITH (CRNP)?
You should see COLLEEN M KENNEDY SMITH (CRNP) as active in CMS-hosted NPPES data.
What expertise is attributed to COLLEEN M KENNEDY SMITH (CRNP)?
COLLEEN M KENNEDY SMITH (CRNP)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is COLLEEN M KENNEDY SMITH (CRNP) located near Rockville?
COLLEEN M KENNEDY SMITH (CRNP) currently maps to Rockville, Maryland in this extract.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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