Individual provider

Kellie Smith, FNP

Family Nurse Practitioner Primary Care Nurse Practitioner Medicare enrolled

Kellie Smith, FNP is a Family Nurse Practitioner in Oklahoma City, OK, registered under NPI 1124779129. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 4510 NW 39TH ST, Oklahoma City, OK 73122. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4510 NW 39TH ST, Oklahoma City, OK 73122 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
216046 OK Family Nurse Practitioner primary
25717 SC Primary Care Nurse Practitioner

Licences are recorded in 2 states: OK, SC. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
6901337278
Enrollment ID
I20240927002105

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Oklahoma and South Carolina. The practice address on file is in Oklahoma City, OK, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

OK Oklahoma practice address
Licence
216046
Specialty
Family Nurse Practitioner
Verify with the OK board →
SC South Carolina
Licence
25717
Specialty
Primary Care Nurse Practitioner
Verify with the SC board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LF0000X Family Nurse Practitioner Family 216046 OK primary
363LP2300X Primary Care Nurse Practitioner Primary Care 25717 SC

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1124779129 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 12, 2022
Last updatedSep 3, 2024
StatusActive
Sole proprietorNo
CredentialFNP
Practice address 4510 NW 39TH ST
Oklahoma City, OK 73122
(405) 759-4300
This record was updated on Sep 3, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1124779129 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 2 4 7 7 9 1 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 4 4 5 7 9 1 4

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1124779129?
NPI 1124779129 is the National Provider Identifier assigned to Kellie Smith, FNP in Oklahoma City, OK. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact Kellie Smith, FNP?
The phone number on file with NPPES is (405) 759-4300, last updated Sep 3, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kellie Smith, FNP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1124779129 a valid number?
Yes. 1124779129 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.