Individual provider Active NPI

Kelsey Kurtz Smith, MSN, CNM

  • Advanced Practice Midwife
  • Fayetteville, NC
National Provider Identifier
1619535069
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
733 Issued in NC
Practice address
1201 Walter Reed Rd
Fayetteville, NC 28304-4437
Phone
(910) 609-3840
NPI assigned
May 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 733 NC Primary
Registered Nurse 163W00000X 261152 NC

Addresses

Primary practice location

1201 Walter Reed Rd
Fayetteville, NC 28304-4437

Mailing address

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-4000

Other practice location 1

1140 Carthage St
Sanford, NC 27330
Phone (919) 775-2304

Other practice location 2

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-4000

Other practice location 3

1140 Carthage St
Sanford, NC 27330
Phone (919) 775-2304

Other practice location 4

1140 Carthage St
Sanford, NC 27330-4161
Phone (919) 775-2304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190911001618 NC Practitioner - Certified Nurse Midwife (CNM) 4688903925 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
733NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc CurrentSince Jul 31, 2019 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince May 1, 2023 Accepting new patients
Hoke Healthcare LLC CurrentSince Jul 31, 2019 Accepting new patients
Cumberland County Hospital System Inc Advanced Practice Midwife CurrentSince Jul 31, 2019 Accepting new patients
Cape Fear Valley Health Medical Group LLC Advanced Practice Midwife CurrentSince Nov 6, 2025 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Nov 6, 2025 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Hoke Healthcare, LLC CurrentSince Jul 31, 2019 Accepting new patients
Scotland Memorial Hospital, Inc CurrentSince May 1, 2023 Accepting new patients
Cape Fear Valley Health Medical Group LLC Past Accepting new patients
County of Hoke Past Accepting new patients

Locations

1201 Walter Reed Rd
Fayetteville, NC 28304
Phone (910) 323-4733

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

1341 Walter Reed Rd
Fayetteville, NC 28304
Phone (910) 609-3500

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

300 Medical Pavilion Dr
#25
Raeford, NC 28376
Phone (910) 904-8035

300 Medical Pavilion Dr
Ste 250
Raeford, NC 28376
Phone (910) 904-8035

24420 Marlboro St
Wagram, NC 28396
Phone (910) 369-3136

Interoperability endpoints

  • Direct secure messaging: ksmith1208940@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: ksmith71960@capefearvalley.direct-ci.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1619535069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043424",
            "telephone_number": "910-615-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 WALTER REED RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044437",
            "telephone_number": "910-609-3840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 Carthage St",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "27330",
            "country_code": "US",
            "telephone_number": "919-775-2304",
            "fax_number": "919-775-4050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1638 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043424",
            "country_code": "US",
            "telephone_number": "910-615-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1140 Carthage St",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "27330",
            "country_code": "US",
            "telephone_number": "919-775-2304",
            "fax_number": "919-775-4050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1140 Carthage St",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273304161",
            "country_code": "US",
            "telephone_number": "919-775-2304",
            "fax_number": "919-775-4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELSEY",
        "middle_name": "KURTZ",
        "name_prefix": "Mrs.",
        "credential": "MSN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "733",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "261152",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.