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

Phyllis Smith

Individual provider Nurse Practitioner · NPI 1053197269

Phyllis Smith is a Nurse Practitioner in Kalamazoo, Michigan. Qualified in 2023, 3 years ago. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2023
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

311 E Alcott St
Kalamazoo, MI 49001-6169
Phone: (269) 373-4636
Fax: (269) 373-5216
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

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704291906 (MI)
Nurse Practitioner Taxonomy 363L00000X · Licence 4704291906NSA230IZ (MI)

Record details

NPI number1053197269
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 4, 2023
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address311 E Alcott St, Kalamazoo, MI 49001-6169

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)
Accepts Medicare assignment Not indicated

Other providers in Kalamazoo