Kaylee Renee Smith, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Plymouth, NH
NPI 1235948696 · NPPES record last updated Feb 7, 2025
Key facts
- NPI
- 1235948696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 082692-23 (NH)
- Practice address
- 101 Boulder Point Dr Ste 1
Plymouth, NH 03264-3170 - Phone
- (603) 536-4000
- NPI assigned
- Dec 31, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mid-State Health Center
Practice addresses (Care Compare)
101 Boulder Point Dr
Suite 1
Plymouth, NH 03264-3170
Phone 60353640001004
Hospital & facility affiliations
- Lakes Region Visiting Nurse Association
- Pemi Baker Community Health
- Speare Memorial Hospital
- Concord Hospital- Laconia
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250131002487 | NH | Practitioner - Nurse Practitioner | 1759810963 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 082692-23 | NH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-State Health Center | Current |
Accepting new patients | |
| Mid-State Health Center | Current | Accepting new patients | |
| Mid-State Health Center | Current |
Accepting new patients | |
| Mid-State Health Center | Past | Accepting new patients |
Locations
101 Boulder Point Dr
Ste 1
Plymouth, NH 03264
Phone (603) 238-3537
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 082692-23 | NH | Yes |
Addresses
Primary practice location
101 Boulder Point Dr Ste 1
Plymouth, NH 03264-3170
Mailing address
101 Boulder Point Dr Ste 1
Plymouth, NH 03264-3170
Phone (603) 536-4000
Other providers in Plymouth, NH
- Ali Margaret Sheehan
- Chance Simonton
- Randall J Sims
- Ian Sindlinger
- Sleepwellandbreathe LLC
- Spring Snyder
- Andrea Sobolov
- Michael Sochat
- Emily Lauren Soraci
- Julia Hope Ryback Soucy
All providers in Plymouth, NH · Family Nurse Practitioner in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.