Mrs Kimberley Smith, NP - Medicare Nurse Practitioner in Goldsboro, NC

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Mrs Kimberley Smith, NP is a medicare enrolled "Nurse Practitioner - Primary Care" in Goldsboro, North Carolina. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Goshen Medical Center Incorporated, East Carolina Anesthesia Associates Pllc and her current practice location is 623 Country Day Rd, Goldsboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 330-1940.

Mrs Kimberley Smith is licensed to practice in North Carolina (license number 5007058) 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 1942612890.

Contact Information

Mrs Kimberley Smith, NP
623 Country Day Rd,
Goldsboro, NC 27530-8888
(919) 330-1940
Not Available

Map and Direction




Provider's Profile

Full NameMrs Kimberley Smith
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location623 Country Day Rd, Goldsboro, 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:
  • Mrs Kimberley Smith graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1942612890
  • Provider Enumeration Date: 05/27/2014
  • Last Update Date: 09/24/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4981825528
  • Enrollment ID: I20141022002809

Medical Identifiers

Medical identifiers for Mrs Kimberley Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942612890NPI-NPPES
MM3255862OtherNCDEA
5007058OtherNCNP LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 5007058 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Unc Health WayneGoldsboro, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Goshen Medical Center Incorporated317343447996
East Carolina Anesthesia Associates Pllc5092720813691

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 Kimberley Smith allows following entities to bill medicare on her behalf.
Entity NameGoshen Medical Center Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962124974
PECOS PAC ID: 3173434479
Enrollment ID: O20040102000726
Entity NameEast Carolina Anesthesia Associates PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205996519
PECOS PAC ID: 5092720813
Enrollment ID: O20060215000791

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 Kimberley 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
Mrs Kimberley Smith, NP
623 Country Day Rd,
Goldsboro, NC 27530-8888

Ph: (919) 330-1940		Mrs Kimberley Smith, NP
623 Country Day Rd,
Goldsboro, NC 27530-8888

Ph: (919) 330-1940

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.