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

Mrs. Kelly Smidebush, ARNP

Individual provider Nurse Practitioner · NPI 1104176833

Mrs. Kelly Smidebush, ARNP is a Nurse Practitioner in Crestview, Florida. Qualified in 2012, 14 years ago. Practices with Emerald Coast Heart and Afib PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
14
Licensed in
FL
In the registry since
2012
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

129 E Redstone Ave Ste A
Crestview, FL 32539-5350
Phone: (850) 682-7212
Fax: (850) 682-6302
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence ARNP9279024 (FL)

Record details

NPI number1104176833
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedSeptember 10, 2012
Last updated in NPPESOctober 5, 2012

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Emerald Coast Heart And Afib Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Crestview