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

Renae Lynn Smith, FNP-C

Individual provider Nurse Practitioner · NPI 1396528097

Renae Lynn Smith, FNP-C is a Nurse Practitioner in Kingman, Arizona. Qualified in 2023, 3 years ago. Practices with Kingman Healthcare Inc, a 180-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2023
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2002 N Stockton Hill Rd Ste 103
Kingman, AZ 86401-4698
Phone: (928) 681-8755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 — (928) 757-2101

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 294962 (AZ)

Record details

NPI number1396528097
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 16, 2023
Last updated in NPPESAugust 16, 2023
Certification dateAugust 11, 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 Kingman Healthcare Inc — 180 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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