KELLY SMITH – Nurse Practitioner, NPI 1518353341

KELLY SMITH is a healthcare provider. based in South boston, Virginia. specializing in NURSE PRACTITIONER. They hold a License No. 0024172518 (VA). The NPI Number for KELLY SMITH is 1518353341

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KELLY SMITH
NPI
1518353341
Phone
Not provided
Address
2232 WILBORN AVE STE D
Enumeration Date
8 April 2015
Last Update Date
8 April 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
6608188974
Group Practice PAC ID
1254311558
Professional Enrollment ID
I20150630001592
Address ID
VA245921662SO2232XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for KELLY SMITH

  • 2232 WILBORN AVE STE D

    SOUTH BOSTON, VA 245921662

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $76.

Total Amount is formed as General ($76) + Research ($0) + Ownership ($0) = $76.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: BeiGene USA, Inc. ($76).

Total Amount

$76

General + Research + Ownership

Payments

3

Total payment records

General Amount

$76

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
BeiGene USA, Inc.$76
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: 2015-06-30

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
I20150630001592INurse PractitionerVATBD

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 minutes271211$0
99213Established patient office or other outpatient visit, 20-29 minutes10496$0
99215Established patient office or other outpatient visit, 40-54 minutes6931$0
99203New patient office or other outpatient visit, 30-44 minutes2727$0
99204New patient office or other outpatient visit, 45-59 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 24592)

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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: 1254311558View full group profile
NameSpecialtyState
Nurse PractitionerVA
General SurgeryVA
Sports Medicine, Orthopedic SurgeryVA
Orthopedic SurgeryVA
Nurse PractitionerVA
Diagnostic RadiologyVA
General SurgeryVA
-VA
-VA
Diagnostic RadiologyVA

Reviews

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Frequently asked questions

Is KELLY SMITH listed with a National Provider Identifier?
Yes — KELLY SMITH has NPI 1518353341 on file in the registry.
Active or inactive — what applies to KELLY SMITH?
You should see KELLY SMITH as active in CMS-hosted NPPES data.
What kind of doctor is KELLY SMITH?
KELLY SMITH is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is KELLY SMITH associated with South Boston?
Public fields place KELLY SMITH around South Boston, Virginia. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for KELLY SMITH is noted as April 8, 2015 where the registry provides it.

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