NPIMap

Individual provider Active NPI

Kelli Marie Smith, FNP-C

  • Family Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1710537253
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09190653 Issued in SD
Practice address
1305 W 18TH St
Sioux Falls, SD 57105-0401
Phone
(605) 333-1000
NPI assigned
Sep 17, 2019
Last updated
Jun 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CP002411 SD
Family Nurse Practitioner 363LF0000X F09190653 SD Primary

Addresses

Primary practice location

1305 W 18TH St
Sioux Falls, SD 57105-0401

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice location 1

401 S Fifth St
Lynch, NE 68746-3013
Phone (402) 569-2451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, SD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191211001443 NE Practitioner - Nurse Practitioner 5698785954 Reassigns benefits to 2 organizations
I20220722002457 SD Practitioner - Nurse Practitioner 5698785954 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Health Care IncGroup PAC ID 8921997933, 55 clinicians

Practice addresses (Care Compare)

1000 18TH St SW
Suite 27
Huron, SD 57350-3488
Phone (605) 554-1015

208 S Main
Howard, SD 57349-0099
Phone (605) 772-4574

401 Prairie Ave SW
Desmet, SD 57231-2224
Phone (605) 854-3455

602 1St St NE
Suite 1
Wessington Springs, SD 57382-2163
Phone (605) 539-1778

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61.99 of 100Reported as group
Quality
31.99
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
78.77
Promoting interoperability
100
Improvement activities
40
Cost
70.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CP002411SDMDNurse Practitioner
F09190653SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health Care Inc CurrentSince Jul 22, 2024 Accepting new patients
Niobrara Valley Hospital Corporation Nurse Practitioner CurrentSince Nov 12, 2019 Accepting new patients
Sanford Medical Center Nurse Practitioner CurrentSince Jun 27, 2022 Accepting new patients
Huron Regional Medical Center Inc CurrentSince Jun 19, 2022 Accepting new patients
Horizon Health Care Inc Current Accepting new patients
Huron Laboratory SVC PC Current Accepting new patients
Horizon Health Care Inc CurrentSince Jul 22, 2024 Accepting new patients
Sanford Medical Center CurrentSince Jun 27, 2022 Accepting new patients
Horizon Health Care Inc Past Accepting new patients

Locations

401 S Fifth St
Lynch, NE 68746
Phone (402) 569-2451

172 4th St SE
Huron, SD 57350
Phone (605) 353-6593

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

602 1st St NE
Ste 1
Wessington Springs, SD 57382
Phone (605) 539-1778

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/niobra-b6726789
  • Direct secure messaging: ksmith@nvh.securechart.com

Organizations & group practices 9

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

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1710537253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 W 18TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571050401",
            "telephone_number": "605-333-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 S Fifth St",
            "address_purpose": "LOCATION",
            "city": "Lynch",
            "state": "NE",
            "postal_code": "687463013",
            "country_code": "US",
            "telephone_number": "402-569-2451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELLI",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP002411",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "F09190653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.