Ms Kathleen W Smith, APN in Peoria, IL - Medicare Nurse Practitioner

Ms Kathleen W Smith, APN is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in Peoria, Illinois. She graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Osf Multi-specialty Group and her current practice location is 900 Main Street Suite 280, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 643-6118.

Ms Kathleen W Smith is licensed to practice in Illinois (license number 209012013) 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 1992109755.

Contact Information

	Ms Kathleen W Smith, APN
	900 Main Street Suite 280, Peoria, IL 61636-4688
	(309) 643-6118
	(309) 517-7476

Map and Direction

Provider's Profile

Full Name	Ms Kathleen W Smith
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	900 Main Street Suite 280, Peoria, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Kathleen W Smith graduated from nursing school in 2014

NPI Data:

NPI Number: 1992109755
Provider Enumeration Date: 10/22/2014
Last Update Date: 07/25/2024

Medicare PECOS Information:

PECOS PAC ID: 7719209956
Enrollment ID: I20141125001735

Medical Identifiers

Medical identifiers for Ms Kathleen W Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992109755	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209.012013 (Illinois)	Secondary
364SA2200X	Clinical Nurse Specialist - Adult Health	209012013 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Francis Medical Center	Peoria, IL	Hospital
St Mary Medical Center	Galesburg, IL	Hospital
Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr	Ottawa, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Osf Multi-specialty Group	3678889789	1848

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. Ms Kathleen W Smith allows following entities to bill medicare on her behalf.

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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. Ms Kathleen 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 Address	Practice Location Address
Ms Kathleen W Smith, APN 10611 N Sleepy Hollow Rd, Peoria, IL 61615-1121 Ph: (309) 712-1363	Ms Kathleen W Smith, APN 900 Main Street Suite 280, Peoria, IL 61636-4688 Ph: (309) 643-6118

Reviews and Comments

Clinical Nurse Specialist Nurses in Peoria, IL

Cheryl Herrmann, Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 112 Ne Crescent Ave, Peoria, IL 61606 Phone: 309-672-4670
Ms. Colleen Susanne Cushing Ragon, APN, CNS Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 8940 N Wood Sage Rd, Peoria, IL 61615 Phone: 309-243-3000 Fax: 309-243-3274
Mrs. Heather A Boore, APN, CNS-BC Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 420 Ne Glen Oak Ave, Suite 401, Peoria, IL 61603 Phone: 309-624-9844
Mrs. Jessica M Stewart, CNS Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 8940 N Wood Sage Rd, Peoria, IL 61615 Phone: 309-243-3000 Fax: 309-243-3215
Mckenzie Regan Likes, APN-C Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5522
Sarah E Dominique, APN CDE Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-2480
Melissa R Norris, CNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 3525 N University St, Peoria, IL 61604 Phone: 309-886-9172 Fax: 309-509-4045

Ms Kathleen W Smith, APN - Medicare Nurse Practitioner in Peoria, IL