Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104176833 Individual Practitioner Female Practitioner

Kelly Smidebush , ARNP

Nurse Practitioner • Crestview, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kelly Smidebush, ARNP is a certified Nurse Practitioner practicing in Crestview, FL. With approximately 14 years of clinical experience since completing medical education in 2012, Kelly Smidebush delivers high-quality medical care to the local community at 129 E REDSTONE AVE.

Kelly Smidebush maintains professional affiliations with Okaloosa Cardiology Pa, Emerald Coast Heart And Afib Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report, smoking and tobacco use intermediate counseling, greater than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

129 E Redstone Ave
Suite A

Crestview, FL 325395350

Telephone 8506827212
Fax 8506826302
Associated Practice Facility / Clinic
🏢 Okaloosa Cardiology P A Facility NPI 1144270240

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Crestview, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs +4.1 yrs vs City Avg
City Avg: 9.9 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
20 Specialists

Practicing in Crestview, FL (8990 Statewide)

Telehealth Adoption Rate
5.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smidebush (14 Years) 14 Yrs
Crestview Specialty Average (9.9 Years) 9.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
240 214 $134.39 $74.50
93000 Routine ekg using at least 12 leads including interpretation and report
137 131 $46.00 $11.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
24 21 $203.13 $102.87

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL ARNP9279024

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Okaloosa Cardiology Pa

552 Twin Cities Blvd, Niceville, FL 325781059

Phone: 8502794426

Emerald Coast Heart And Afib Pllc

550 Redstone Ave W, Crestview, FL 325366457

Phone: 8506020094

Okaloosa Cardiology Pa

1032 Mar Walt Dr, Ft Walton Bch, FL 325476661

Phone: 8508621753

Okaloosa Cardiology Pa

129 E Redstone Ave, Crestview, FL 325395350

Phone: 8506827212

Okaloosa Cardiology Pa

1032 Mar Walt Dr, Fort Walton Beach, FL 325476661

Phone: 8508651753

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Katelyn Gray , APRN

Nurse Practitioner

NPI 1053145243

Advanced Practice Registered Nurse

Dr. Farhat Mehmood , MD

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1205884178

Doctor of Medicine (M.D.)

Dr. Patrick Fitzgerald , MD

Internal Medicine - Cardiovascular Disease

NPI 1306378674

Doctor of Medicine (M.D.)

Dr. Juan Zarate , MD

Internal Medicine - Cardiovascular Disease

NPI 1336134220

Doctor of Medicine (M.D.)

Dr. Mark Katzenstein , MD

Internal Medicine - Cardiovascular Disease

NPI 1447351044

Doctor of Medicine (M.D.)

Dr. Anthony Al-Dehneh , DO

Internal Medicine - Cardiovascular Disease

NPI 1518902634

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 05, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 05, 2012

Registered at 129 E REDSTONE AVE, SUITE A, CRESTVIEW, FL 325395350 (Tel: 8506827212)

📍
Updated Business Mailing Address October 05, 2012

Registered at 129 E REDSTONE AVE, SUITE A, CRESTVIEW, FL 325395350 (Tel: 8506827212)

👤
Provider Name / Credentials Updated October 05, 2012

Recorded as KELLY SMIDEBUSH, ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2012

Nurse Practitioner (License #ARNP9279024 in FL)

🟢
Initial NPI Registration & Enumeration September 10, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Kelly Smidebush. Be the first to share your experience!

Sign in to leave a review for Kelly Smidebush

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1104176833
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 10, 2012
Last Update: October 05, 2012
Sole Proprietor: No

Mailing Address

129 E Redstone Ave, Suite A

Crestview, FL 325395350

Phone: 8506827212

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.