KELLEY SMODIC CRNP NPI 1083895965

NPI Information

  • NPI: 1083895965
  • Provider Name: KELLEY SMODIC, CRNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1117 WOODWARD DR
    SUITE 4
    GREENSBURG, PA
    ZIP 15601
  • Phone: (724) 834-0432

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NPI Details

Kelley Smodic, CRNP is a psychiatric/mental health nurse practitioner in Greensburg, PA with 22 years of experience. Kelley Smodic, CRNP NPI is 1083895965. The provider is registered as an individual entity type and is a multiple single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1117 WOODWARD DR
SUITE 4
GREENSBURG, PA
ZIP 15601-228
Phone: (724) 834-0432
Fax: (888) 972-1731

The NPI 1083895965 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/19/2007 and was last updated on 9/24/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorSP008361PENNSYLVANIANo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthSP008361PENNSYLVANIAYes
3101YM0800XCounselorMental HealthSP008361PENNSYLVANIANo
4101YP2500XCounselorProfessionalSP008361PENNSYLVANIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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