KELVIN DEWAYNE RODEN-SMITH (NP) – Acute Care Nurse Practitioner, NPI 1669613220
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
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Provider Addresses for KELVIN DEWAYNE RODEN-SMITH (NP)
Fort Street, Trenton, Wayne County, Michigan, 48173, United States
SUITE D ATTN DENISE
TRENTON, MI 481832040
Phone: (734) 391-3057
Fax: (734) 391-3052
Type: Mailing
Henry Ford Wyandotte Hospital, 2333, Biddle Avenue, Downtown Wyandotte, Wyandotte, Wayne County, Michigan, 48192, United States
WYANDOTTE, MI 481924668
Phone: (734) 246-6000
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: 2009-06-12
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 |
|---|---|---|---|---|
| I20090612000379 | I | Nurse Practitioner | MI | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 72 | 41 | $0 |
| 99291 | Critical care, first 30-74 minutes | 41 | 29 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 39 | 38 | $0 |
| 99497 | Advance care planning, first 30 minutes | 36 | 31 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 48183)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Physician Assistant | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| Gastroenterology, Internal Medicine | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| - | MI |
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