Mrs Kelly Smidebush, ARNP - Medicare Nurse Practitioner in Crestview, FL

Mrs Kelly Smidebush, ARNP is a medicare enrolled "Nurse Practitioner" in Crestview, Florida. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Okaloosa Cardiology P A and her current practice location is 129 E Redstone Ave, Suite A, Crestview, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 682-7212.

Mrs Kelly Smidebush is licensed to practice in Florida (license number ARNP9279024) 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 1104176833.

Contact Information

Mrs Kelly Smidebush, ARNP
129 E Redstone Ave, Suite A,
Crestview, FL 32539-5350
(850) 682-7212
(850) 682-6302

Map and Direction




Provider's Profile

Full NameMrs Kelly Smidebush
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location129 E Redstone Ave, Crestview, Florida
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:
  • Mrs Kelly Smidebush graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1104176833
  • Provider Enumeration Date: 09/10/2012
  • Last Update Date: 10/05/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8527218056
  • Enrollment ID: I20121018000582

Medical Identifiers

Medical identifiers for Mrs Kelly Smidebush such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104176833NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner ARNP9279024 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
North Okaloosa Medical CenterCrestview, FLHospital
Fort Walton Beach Medical CenterFort walton beach, FLHospital
Twin Cities HospitalNiceville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Okaloosa Cardiology P A731592089911

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. Mrs Kelly Smidebush allows following entities to bill medicare on her behalf.
Entity NameOkaloosa Cardiology P A
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144270240
PECOS PAC ID: 7315920899
Enrollment ID: O20040608000466

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. Mrs Kelly Smidebush 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
Mrs Kelly Smidebush, ARNP
129 E Redstone Ave, Suite A,
Crestview, FL 32539-5350

Ph: (850) 682-7212
Mrs Kelly Smidebush, ARNP
129 E Redstone Ave, Suite A,
Crestview, FL 32539-5350

Ph: (850) 682-7212

Reviews and Comments


Nurse Practitioner Nurses in Crestview, FL

Mrs. Leslie Ann Rossley, ARNP, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 160 E Redstone Ave, Crestview, FL 32539
Phone: 850-689-0555    
Adam C Hargis, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 151 E Redstone Ave, Crestview, FL 32539
Phone: 859-669-8100    
Sarah Stone, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4625 Scarlet Dr E, Crestview, FL 32539
Phone: 573-673-1328    
Mrs. Michelle Therese Koski, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 302 E James Lee Blvd, Crestview, FL 32539
Phone: 850-682-1002    
Ms. Kelley Michelle Coone, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 130 E Redstone Ave, Crestview, FL 32539
Phone: 850-398-8725    
Mr. John Myron Faircloth, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 127 E Redstone Ave Ste C, Crestview, FL 32539
Phone: 850-423-0061    Fax: 850-423-9954
Jonathan Aspinwall, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 369 N Main St, Uite A, Crestview, FL 32536
Phone: 850-398-6963    Fax: 850-398-8277

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.