MRS. KANITA SMITH (AGNP-C) – Primary Care Nurse Practitioner, NPI 1689216566

MRS. KANITA SMITH (AGNP-C) is a healthcare provider. based in Gunter, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP-C. They hold a License No. AP143454 (TX). The NPI Number for MRS. KANITA SMITH (AGNP-C) is 1689216566

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KANITA SMITH (AGNP-C)
NPI
1689216566
Phone
(636) 486-5499
Address
1921 Running Deer Ln
Enumeration Date
12 October 2019
Last Update Date
30 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4699874416
Graduation Year
2015 (11 years ago)
PAC ID
8224441068
Group Practice PAC ID
8729472402
Professional Enrollment ID
I20210115000743
Address ID
TX750326860RO1201XDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MRS. KANITA SMITH (AGNP-C)

  • 1921 Running Deer Ln

    Gunter, TX 750584226

    Phone: (636) 486-5499

    Type: Location

  • 1921, Running Deer Lane, Gunter, Grayson County, Texas, 75058, United States

    GUNTER, TX 750584226

    Phone: (636) 486-5499

    Type: Mailing

  • 3002 MOORES LN

    TEXARKANA, TX 755032204

    Phone: (430) 200-4350

    Fax: (833) 491-2722

    Type: Mailing

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: 2021-01-15

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
I20210115000743INurse PractitionerTXTBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes11467$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes7952$0
99344Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes2929$0
99496Transitional care management services for problem of high complexity1515$0
View full utilization report →

Insurance plans in this area (ZIP 75058)

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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: 8729472402View full group profile
NameSpecialtyState
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is MRS. KANITA SMITH (AGNP-C)'s NPI number?
MRS. KANITA SMITH (AGNP-C)'s NPI is 1689216566 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MRS. KANITA SMITH (AGNP-C)?
You should see MRS. KANITA SMITH (AGNP-C) as active in CMS-hosted NPPES data.
How would a patient describe MRS. KANITA SMITH (AGNP-C)'s focus?
For MRS. KANITA SMITH (AGNP-C), the primary taxonomy reads as Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. KANITA SMITH (AGNP-C)?
Directory geography for MRS. KANITA SMITH (AGNP-C) centers on Gunter, Texas.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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