Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104548981 Individual Practitioner Female Practitioner

Kacey Smith

Nurse Practitioner • Wildwood, FL

Professional Overview & Biography Verified Profile Summary

Kacey Smith is a registered healthcare professional specializing in Nurse Practitioner in Wildwood, FL. Practice services are available at 300 S MAIN ST UNIT 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

300 S Main St Unit 2

Wildwood, FL 347854542

Telephone 3862998080

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Wildwood, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Wildwood, FL (8990 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-11-11
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL APRN11021601

(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.

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location November 11, 2022

Registered at 300 S MAIN ST UNIT 2, WILDWOOD, FL 347854542 (Tel: 3862998080)

NPI Profile Active September 19, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 19, 2022

Registered at 1900 DON WICKHAM DR, CLERMONT, FL 347111979 (Tel: 3862998080)

📍
Updated Business Mailing Address September 19, 2022

Registered at 21253 S BUCKHILL RD, CLERMONT, FL 347159066 (Tel: 3862998080)

👤
Provider Name / Credentials Updated September 19, 2022

Recorded as KACEY SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2022

Nurse Practitioner (License #APRN11021601 in FL)

🟢
Initial NPI Registration & Enumeration September 19, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104548981
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2022
Last Update: November 11, 2022
Sole Proprietor: Yes

Mailing Address

21253 S Buckhill Rd

Clermont, FL 347159066

Phone: 3862998080

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.