Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Kristi Smith, APRN-NP

Individual provider Family Nurse Practitioner · NPI 1316628860

Kimberly Kristi Smith, APRN-NP is a Nurse Practitioner in Grants Pass, Oregon. Qualified in 2023, 3 years ago. Practices with Siskiyou Community Health Center Inc, a 31-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
3
Licensed in
OR
In the registry since
2023
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Practice location Address checks out

1701 NW Hawthorne Ave
Grants Pass, OR 97526-1051
Phone: (541) 471-3455
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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 10012858 (OR)

Record details

NPI number1316628860
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-NP
Sole proprietorNo
NPI enumeratedJuly 27, 2023
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 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 Siskiyou Community Health Center Inc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grants Pass