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

Kelly Payne Smith, NP

Individual provider Family Medicine Physician · NPI 1588173199

Kelly Payne Smith, NP is a Nurse Practitioner in Mequon, Wisconsin. Qualified in 2017, 9 years ago. Practices with Columbia St Marys Hospital Milwaukee Inc, a 314-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
9
Licensed in
WI
In the registry since
2017
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

10554 N Port Washington Rd
Mequon, WI 53092-5537
Phone: (414) 352-2766
Fax: (262) 241-5816
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 7838-33 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 7838-33 (WI)

Record details

NPI number1588173199
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 26, 2017
Last updated in NPPESMay 10, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Columbia St Marys Hospital Milwaukee Inc — 314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mequon