MS. KRISTIN N SMITH ANP NPI 1174598775

NPI Information

  • NPI: 1174598775
  • Provider Name: MS. KRISTIN N SMITH, ANP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5303 W HACKAMORE DR
    GLENDALE, AZ
    ZIP 85310
  • Phone: (623) 266-2690

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NPI Details

MS. Kristin N Smith, ANP is an adult health nurse practitioner in Glendale, AZ with 20 years of experience. MS. Kristin N Smith, ANP NPI is 1174598775. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5303 W HACKAMORE DR
GLENDALE, AZ
ZIP 85310-418
Phone: (623) 266-2690
Fax: (623) 337-4224

The NPI 1174598775 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Fusion of additional segment of spine (HCPCS:22614)
  • Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
  • Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment (HCPCS:63048)
  • Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc (HCPCS:22552)
  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • Placement of stabilizing device to back, 3-6 spine bone segments (HCPCS:22842)
  • Fusion of spine in lower back with partial removal of spine bone and disc (HCPCS:22633)
  • Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc (HCPCS:22551)
  • Fusion of spine in lower back (HCPCS:22612)
  • Aspiration of bone marrow for spine bone graft (HCPCS:20939)
  • Spinal fusion (HCPCS:NAN02)

The enumeration date for this NPI number is 2/17/2006 and was last updated on 3/7/2023.

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
1363LA2200XNurse PractitionerAdult HealthRN104595ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1949894MEDICAIDARIZONA
22005003310-21OTHERARIZONANURSE PRACTITIONER CERTIF

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: 3/30/2025

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