Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelley Lynn Smith, APNP

Individual provider Family Nurse Practitioner · NPI 1205610862

Kelley Lynn Smith, APNP is a Nurse Practitioner in Neenah, Wisconsin. Qualified in 2023, 3 years ago. Practices with Thedacare, Incorporated, a 654-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

333 N Green Bay Rd
Neenah, WI 54956-1954
Phone: (920) 725-2070
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 N Westhaven Dr, Oshkosh, WI 54904-6926 — (920) 237-5000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 14415-33 (WI)

Record details

NPI number1205610862
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedAugust 23, 2023
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Neenah