DEVIN DAENAR SMITH (FNP-C) – Family Nurse Practitioner, NPI 1164236816

DEVIN DAENAR SMITH (FNP-C) is a healthcare provider. based in Kansas city, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 53-83805-091 (KS). The NPI Number for DEVIN DAENAR SMITH (FNP-C) is 1164236816

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
DEVIN DAENAR SMITH (FNP-C)
NPI
1164236816
Phone
(816) 923-5800
Address
3801 DR MARTIN LUTHER KING JR BLVD
Enumeration Date
4 February 2025
Last Update Date
27 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8165995020
Graduation Year
2024 (2 years ago)
PAC ID
8628579513
Group Practice PAC ID
5294644530
Professional Enrollment ID
I20250902001211
Address ID
KS661021747KA4835XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for DEVIN DAENAR SMITH (FNP-C)

  • 3801 DR MARTIN LUTHER KING JR BLVD

    KANSAS CITY, MO 641302807

    Phone: (816) 923-5800

    Fax: (816) 923-3801

    Type: Mailing

  • 2906 NW Vivion Rd

    Kansas City, MO 641501502

    Phone: (816) 599-5051

    Fax: (816) 599-5961

    Type: Location

  • 4835 State Ave

    Kansas City, KS 661021747

    Phone: (816) 599-5020

    Fax: (816) 599-5958

    Type: Location

  • 6406 E 87th St

    Kansas City, MO 641382800

    Phone: (816) 321-3200

    Fax: (816) 599-5929

    Type: Location

  • 204 E North Ave

    Belton, MO 640122013

    Phone: (816) 599-5170

    Fax: (816) 599-5993

    Type: Location

  • 11320 E Truman Rd

    Independence, MO 640502564

    Phone: (816) 599-5201

    Fax: (816) 599-5964

    Type: Location

  • 21 N 12th St Ste 400

    Kansas City, KS 661025172

    Phone: (816) 599-5111

    Fax: (816) 599-5959

    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: 2025-09-02

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
I20250902001211INurse PractitionerMOTBD

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 64130)

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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: 5294644530View full group profile
NameSpecialtyState
Nurse PractitionerMO
Internal MedicineMO
Nurse PractitionerMO
Internal MedicineKS
Diagnostic RadiologyKS
Physician AssistantMO
Nurse PractitionerMO
-MO
Nurse PractitionerMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What is the 10-digit NPI for DEVIN DAENAR SMITH (FNP-C)?
DEVIN DAENAR SMITH (FNP-C) — NPI 1164236816 — is the standard way to identify this listing.
Is DEVIN DAENAR SMITH (FNP-C) listed as active for patients and plans?
The listing shows DEVIN DAENAR SMITH (FNP-C) as active in the NPI system.
What is DEVIN DAENAR SMITH (FNP-C)'s primary classification?
Family Nurse Practitioner is the headline specialty for DEVIN DAENAR SMITH (FNP-C) here. Clinical services aligned with this taxonomy classification.
Where is DEVIN DAENAR SMITH (FNP-C) based?
DEVIN DAENAR SMITH (FNP-C) is tied to Kansas City, Missouri in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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