KORTNEY KYLE KILLGORE-SMITH (ARNP) – Family Nurse Practitioner, NPI 1023379989
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for KORTNEY KYLE KILLGORE-SMITH (ARNP)
1012 SOUTH THIRD STREET
DAYTON, WA 99328
Phone: (509) 382-2531
Fax: (509) 382-3205
Type: Mailing
235 MAIN STREET
WAITSBURG, WA 99361
Phone: (509) 337-6311
Fax: (509) 337-6011
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: 2012-11-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121115000623 | I | Nurse Practitioner | WA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 184 | 180 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 128 | 127 | $0 |
| 81003 | Automated urinalysis test | 41 | 40 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 38 | 38 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 30 | 30 | $0 |
Insurance plans in this area (ZIP 99328)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | CO | |
| Hospitalist, Internal Medicine | UT | |
| Internal Medicine, Hospitalist | ID | |
| N E U R O L O G Y | OR | |
| Family Practice | WA | |
| - | WA | |
| Emergency Medicine | WA | |
| Physical Therapist In Private Practice | WA | |
| Nurse Practitioner | WA | |
| Pulmonary Disease, Critical Care (Intensivists) | WA |
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