Individual provider Active NPI

Miranda Rochelle Smith, MD

  • Family Medicine Physician
  • Hutchinson, KS
National Provider Identifier
1851912992
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-51313 Issued in KS
Practice address
2700 E 30TH Ave
Hutchinson, KS 67502-1242
Phone
(620) 663-8484
NPI assigned
Apr 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-51313 KS Primary

Addresses

Primary practice location

2700 E 30TH Ave
Hutchinson, KS 67502-1242

Mailing address

2700 E 30TH Ave
Hutchinson, KS 67502-1242
Phone (620) 663-8484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, KS2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240723003418 ID Practitioner - Family Practice 3173925203 Reassigns benefits to 1 organization
I20250915002589 KS Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 3173925203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
University of Oklahoma College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prairiestar Health Center IncGroup PAC ID 6305822560, 26 clinicians

Practice addresses (Care Compare)

2700 E 30TH Ave
Hutchinson, KS 67502-1242
Phone (620) 663-8484

Hospital & facility affiliations

  • Angels Care Home Health Home health agency, Wichita, KS, CCN 178088
  • Hutchinson Regional Medical Center Inc Hospital, Hutchinson, KS, CCN 170020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Prairiestar Health Center, Inc CurrentSince Oct 1, 2025 Accepting new patients
Full Circle Health, Inc. CurrentSince Jul 29, 2024 Accepting new patients
Hutchinson Regional Medical Center, Inc. Past Accepting new patients
St Lukes Regional Medical Center PastSince Jul 29, 2024 Accepting new patients

Locations

777 N Raymond St
Boise, ID 83704
Phone (208) 367-6030

325 W Idaho St
Boise, ID 83702
Phone (208) 514-2525

6565 W Emerald St
Boise, ID 83704
Phone (208) 377-5055

1600 N Lorraine St
Ste 110
Hutchinson, KS 67501
Phone (620) 663-8484

2700 E 30th Ave
Hutchinson, KS 67502
Phone (620) 663-8484

Interoperability endpoints

  • Direct secure messaging: msmith914201@ahs.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1851912992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E 30TH AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021242",
            "telephone_number": "620-663-8484",
            "fax_number": "620-663-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E 30TH AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021242",
            "telephone_number": "620-663-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MIRANDA",
        "middle_name": "ROCHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-51313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, KS

Sources for this page

Verify at the official NPI Registry.