KIM SMITH (C.N.P.) – Family Nurse Practitioner, NPI 1831196419

KIM SMITH (C.N.P.) is a healthcare provider. based in Oregon, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials C.N.P.. They hold a License No. NP07074 (OH). The NPI Number for KIM SMITH (C.N.P.) is 1831196419

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
KIM SMITH (C.N.P.)
NPI
1831196419
Phone
(419) 698-4505
Address
1050 ISAAC STREETS DR
Enumeration Date
28 June 2005
Last Update Date
3 November 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Secondary Phone
5675850005
Graduation Year
2002 (24 years ago)
PAC ID
4981502713
Group Practice PAC ID
2365348190
Professional Enrollment ID
I20050929000010
Address ID
OH435602767SY5700XSTXX300

Contacts

Secure Messaging
kteneyck13390@epicdirect.promedica.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

14,984 NURSE PRACTITIONER in OH

Provider Addresses for KIM SMITH (C.N.P.)

  • ENT Physicians Inc, 1050, Isaac Streets Drive, Oregon, Lucas County, Ohio, 43616, United States

    SUITE 137

    OREGON, OH 436163291

    Phone: (419) 698-4505

    Fax: (419) 698-3806

    Type: Mailing

  • 5700 MONROE ST UNIT 310

    SYLVANIA, OH 435602768

    Phone: (419) 824-0356

    Fax: (419) 824-6193

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $52.

Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.

Last reported payment date: 2024-12-08 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($52).

Total Amount

$52

General + Research + Ownership

Payments

1

Total payment records

General Amount

$52

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-08

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: 2005-09-29

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
I20050929000010INurse PractitionerOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes8281$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)2120$0
99214Established patient office or other outpatient visit, 30-39 minutes2020$0
99203New patient office or other outpatient visit, 30-44 minutes1818$0
71046X-ray of chest, 2 views1414$0
View full utilization report →

Insurance plans in this area (ZIP 43616)

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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: 2365348190View full group profile
NameSpecialtyState
-OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-OH
-OH
Nurse PractitionerOH
-OH
Certified Registered Nurse Anesthetist (Crna)TX
-OH
-OH

Reviews

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Frequently asked questions

What federal number belongs to KIM SMITH (C.N.P.)?
The federal identifier for KIM SMITH (C.N.P.) is NPI 1831196419.
Is KIM SMITH (C.N.P.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does KIM SMITH (C.N.P.) work in?
You can think of KIM SMITH (C.N.P.) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does KIM SMITH (C.N.P.) practice in Ohio?
You will see Oregon, Ohio on file for KIM SMITH (C.N.P.) alongside any extra practice locations.
What if Oregon, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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