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

Kellie Danielle Smith, FNP

Individual provider Primary Care Nurse Practitioner · NPI 1124779129

Kellie Danielle Smith, FNP is a Nurse Practitioner in Oklahoma City, Oklahoma. Qualified in 2021, 5 years ago. Practices with Advance Physicians Group, a 23-clinician group and accepts Medicare assignment. Licensed in Oklahoma and South Carolina.

Years since qualifying
5
Licensed in
OK, SC
In the registry since
2022
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

4510 NW 39th St
Oklahoma City, OK 73122-2503
Phone: (405) 759-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 216046 (OK)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 25717 (SC)

Record details

NPI number1124779129
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 12, 2022
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Advance Physicians Group — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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