Kim W Smith, NP C - Medicare Nurse Practitioner in Fayetteville, NC

Kim W Smith, NP C is a medicare enrolled "Nurse Practitioner - Family" in Fayetteville, North Carolina. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Carter Clinic, P A and her current practice location is 5817 Tuckertown Ln, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 339-1163.

Kim W Smith is licensed to practice in North Carolina (license number 132460) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811223464.

Contact Information

Kim W Smith, NP C
5817 Tuckertown Ln,
Fayetteville, NC 28314-1375
(336) 339-1163
Not Available

Map and Direction




Provider's Profile

Full NameKim W Smith
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location5817 Tuckertown Ln, Fayetteville, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kim W Smith graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1811223464
  • Provider Enumeration Date: 11/02/2009
  • Last Update Date: 12/08/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 4183862519
  • Enrollment ID: I20130524000355

Medical Identifiers

Medical identifiers for Kim W Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811223464NPI-NPPES
7004844MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 132460 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carter Clinic, P A125442992113

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kim W Smith allows following entities to bill medicare on her behalf.
Entity NameHaymount Institute For Psychological Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528239993
PECOS PAC ID: 1153498415
Enrollment ID: O20080929000365
Entity NameCarter Clinic, P A
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912959834
PECOS PAC ID: 1254429921
Enrollment ID: O20091216000437

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kim W Smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kim W Smith, NP C
5817 Tuckertown Ln,
Fayetteville, NC 28314-1375

Ph: (336) 339-1163
Kim W Smith, NP C
5817 Tuckertown Ln,
Fayetteville, NC 28314-1375

Ph: (336) 339-1163

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.