Active NPI 1538417688 Individual Practitioner Female Practitioner

Kelley Suzanne Smith , APN

Nurse Practitioner • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Kelley Smith, APN is a registered healthcare professional specializing in Nurse Practitioner in Tyler, TX. Practice services are available at 520 DOUGLAS BLVD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service;. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

520 Douglas Blvd

Tyler, TX 757028307

Telephone 9035931721

Associated Practice Facility / Clinic

🏢 Christus Trinity Clinic Facility NPI 1285684225

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Tyler, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 9.7 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

148 Specialists

Practicing in Tyler, TX (4894 Statewide)

Telehealth Adoption Rate

11.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$406.00	$118.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$289.00	$80.89
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$204.00	$54.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	51	$265.24	$80.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	77	50	$355.74	$120.23
99213 Established patient office or other outpatient visit, typically 15 minutes	63	50	$184.21	$54.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$270.63	$108.38
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	24	12	$99.50	$26.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	62	$236.00	$83.41
99213 Established patient office or other outpatient visit, typically 15 minutes	58	40	$161.00	$55.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	28	$316.00	$120.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	22	22	$252.00	$111.14
99495 Transitional care management services for problem of at least moderate complexity	13	12	$355.00	$121.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	193	83	$218.28	$66.17
99213 Established patient office or other outpatient visit, typically 15 minutes	89	54	$164.85	$43.43
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	23	23	$239.22	$97.33
99495 Transitional care management services for problem of at least moderate complexity	16	13	$417.50	$98.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	219	98	$206.00	$65.64
99213 Established patient office or other outpatient visit, typically 15 minutes	138	65	$168.00	$41.92
99495 Transitional care management services for problem of at least moderate complexity	36	25	$480.00	$92.32
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	26	19	$130.00	$26.70
99496 Transitional care management services for problem of high complexity	24	19	$678.00	$133.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	22	22	$208.09	$96.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	227	85	$206.00	$64.69
99213 Established patient office or other outpatient visit, typically 15 minutes	151	78	$168.00	$42.14
99495 Transitional care management services for problem of at least moderate complexity	35	22	$480.00	$91.50
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	22	20	$160.00	$37.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$207.00	$95.47
99496 Transitional care management services for problem of high complexity	11	11	$678.00	$132.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	239	91	$206.00	$64.71
99213 Established patient office or other outpatient visit, typically 15 minutes	156	88	$168.00	$41.79
99495 Transitional care management services for problem of at least moderate complexity	24	24	$480.00	$91.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	22	22	$207.00	$93.92

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX AP122482

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

337227801 (TX)

Commercial Insurance / Payer ID Bcbs

8863NH (TX)

Commercial Insurance / Payer ID Tricare

75-2616977-007 (TX)

Practice Associates & Co-Workers

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

31 Associated Practitioners

Dr. Mark Vig , MD

Internal Medicine

NPI 1023251527

Doctor of Medicine (M.D.)

Dr. Antoinette Lenton , MD

Psychiatry & Neurology - Psychiatry

NPI 1063825024

Doctor of Medicine (M.D.)

Marcia Green , FNP

Nurse Practitioner

NPI 1134163868

Family Nurse Practitioner

Dr. William Miller , MD

Obstetrics & Gynecology - Gynecology

NPI 1164496907

Doctor of Medicine (M.D.)

Dr. Lee Ridenour , MD

Internal Medicine

NPI 1205801966

Doctor of Medicine (M.D.)

Robert Clarke , PA

Physician Assistant

NPI 1225162753

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 01, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 01, 2016

Registered at 520 DOUGLAS BLVD, TYLER, TX 757028307 (Tel: 9035931721)

📍

Updated Business Mailing Address April 01, 2016

Registered at PO BOX 846098, DALLAS, TX 752846098 (Tel: 9033246450)

👤

Provider Name / Credentials Updated April 01, 2016

Recorded as KELLEY SMITH, APN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2016

Nurse Practitioner (License #AP122482 in TX)

🟢

Initial NPI Registration & Enumeration August 21, 2012

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: 1538417688

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 21, 2012

Last Update: April 01, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 846098

Dallas, TX 752846098

Phone: 9033246450

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.