Kathleen Marie Smith, RN, MSN, AGPCNP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704176927 Issued in MI

Practice address

44456 Brookside Rd
Plymouth, MI 48170-3848

Phone

(734) 459-3350

NPI assigned

Mar 28, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beaumont Medical Group Hospital Based ServicesGroup PAC ID 3072875889, 575 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151

Merit-based Incentive Payment System (MIPS)

Final score

89.64 of 100Reported as group

Quality

85.06

Promoting interoperability

100

Improvement activities

40

Cost

77.9

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

Practice roles

Locations

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.

• Beaumont Medical Group Hospital -Based Services

  • Hospitalist Physician
  • Royal Oak, MI
  • NPI 1427567858
  Medicare reassignment Care Compare group NPD
• Michigan Sports and Spine Center PC

  • Physical Medicine & Rehabilitation Physician
  • Livonia, MI
  • NPI 1205887262
  Medicare reassignment NPD
• Total Extended Care Services PC

  • Physical Medicine & Rehabilitation Physician
  • Englewood, OH
  • NPI 1699522029

  MI

  Medicare reassignment NPD

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

• Botsford General Hospital

  • Podiatrist
  • Farmington Hills, MI
  • NPI 1093828303

  Hospital

  Care Compare affiliation
• Botsford General Hospital

  • Family Medicine Physician
  • Dearborn Heights, MI
  • NPI 1114935566

  Hospital

  Care Compare affiliation
• Botsford General Hospital

  • General Acute Care Hospital
  • Farmington Hills, MI
  • NPI 1336183367
  Care Compare affiliation
• Botsford General Hospital

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1538103395

  Hospital

  Care Compare affiliation
• Botsford General Hospital

  • Family Medicine Physician
  • Farmington Hills, MI
  • NPI 1871521153

  Hospital

  Care Compare affiliation
• Botsford General Hospital

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1871907303

  Hospital

  Care Compare affiliation
• Botsford General Hospital

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1912335373

  Hospital

  Care Compare affiliation
• Botsford General Hospital

  • Pulmonary Disease Physician
  • Farmington Hills, MI
  • NPI 1912915349

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821593138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44456 BROOKSIDE RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481703848",
            "telephone_number": "734-459-3350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28050 Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "48336",
            "country_code": "US",
            "telephone_number": "947-521-8000",
            "fax_number": "248-471-8964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RN, MSN, AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704176927",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704176927",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704176927",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksmith94938@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "28050 Grand River Ave",
            "city": "Farmington Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Janessa Smith
• Jason Andrew Smith, MA TLLP LLPC
• Jenelle Smith
• Jocelyn M Smith, PTA
• Joshua T Smith, DPT
• Kristen Smith
• Kruger B Smith Jr.
• Laurie Smith, LMSW, CDE
• Logan Smith, PT, DPT
• Marcia Lynne Smith, MS, CCC-SLP

• Adult Health Nurse Practitioner in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• 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.