Kelsey J Smith, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23786 Issued in OK

Practice address

3410 W 19TH Ave
Stillwater, OK 74074-2732

Phone

(405) 252-1850

Fax

(405) 999-4775

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 14, 2022 through Jan 14, 2028

Specialty

Family Practice

Education

University of Oklahoma College of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carter Healthcare of Central Oklahoma, LLC Home health agency, Oklahoma City, OK, CCN 377478
• Stillwater Medical at Home Home health agency, Stillwater, OK, CCN 377204
• Companion Hospice, L.L.C. Hospice, Guthrie, OK, CCN 371613
• Stillwater Medical Center Hospital, Stillwater, OK, CCN 370049
• O U Medical Center Hospital, Oklahoma City, OK, CCN 370093

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carter Healthcare of Central Oklahoma, LLC

  • Home Health Agency
  • Oklahoma City, OK
  • NPI 1578667705
  Care Compare affiliation
• Companion Hospice LLC

  • Community Based Hospice Care Agency
  • Guthrie, OK
  • NPI 1922007806
  Care Compare affiliation
• Ou Medicine Inc.

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1649794157
  Care Compare affiliation
• Stillwater Medical Center Authority

  • General Acute Care Hospital
  • Stillwater, OK
  • NPI 1164494027
  Care Compare affiliation
• Stillwater Medical Center Authority

  • Home Health Agency
  • Stillwater, OK
  • NPI 1871567958
  Care Compare affiliation

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1679660427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 W 19TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740742732",
            "telephone_number": "405-252-1850",
            "fax_number": "405-999-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 W 19TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740742732",
            "telephone_number": "405-252-1850",
            "fax_number": "405-999-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELSEY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "23786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE #",
            "identifier": "23786",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100745000C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth E Smith
• Ian Michael Smith
• Isabella Smith, BSW
• Jan E Smith, RD/LD
• Jordan Smith
• Larissa Cheryl Smith, D.O.
• Lynn Marie Smith, LPC
• Macayla Smith, B.A.
• Marrie Smith
• Parker Dilbeck Smith

• Family Medicine Physician in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.