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

Kimberly Ann Smith, NP-C

Individual provider Family Nurse Practitioner · NPI 1225387400

Kimberly Ann Smith, NP-C is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2011, 15 years ago. Practices with Eventus Ecs, Inc, a 246-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
15
Licensed in
IN
In the registry since
2012
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

3512 Stellhorn Rd
Fort Wayne, IN 46815-4631
Phone: (260) 483-9081
Fax: (260) 483-9196
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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 71004091A (IN)

Record details

NPI number1225387400
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedSeptember 5, 2012
Last updated in NPPESSeptember 5, 2012

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Eventus Ecs, Inc — 246 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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