Doctor profile · Federal record
Dr. Kathleen Smith, APN
Adult Health Clinical Nurse Specialist (CMS: Nurse Practitioner) · Nurse Practitioner · Peoria, IL
- NPI 1992109755
- Accepts Medicare
- 12 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
900 Main Street Suite 280
Peoria, IL 616364688
(309) 643-6118
fax (309) 517-7476 - Mailing address
-
10611 N Sleepy Hollow RD
Peoria, IL 616151121
Credentials & registration
- NPI registered
- October 2014 — 12 yrs on file
- Profile last updated
- July 25, 2024
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 364SA2200X — NUCC code
- State licenses (2)
- Illinois #209012013 · Illinois #209.012013
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1992109755. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
337
Distinct HCPCS
9
Medicare allowed
$34,911
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 77 | 65 | $119 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 68 | 66 | $81 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 53 | 47 | $104 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 52 | 48 | $144 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 30 | 30 | $54 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 20 | 20 | $74 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 14 | 14 | $111 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 12 | 12 | $92 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $137 |
In context: peer comparison
Among 11 peers in this city , average services per provider: 52. This provider delivers 6.5× the peer median.Open Payments
Industry payments received
All-time total
$16
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| CORDIS US CORP. | 1 | $16.29 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
259
Patients
89
Total drug cost
$3,404
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Cilostazol | Generic | 138 | 56 | $2,502 |
| Clopidogrel (Clopidogrel Bisulfate) | Brand | 91 | 33 | $678 |
| Atorvastatin Calcium | Generic | 30 | 0 | $223 |
Hospital affiliations
Frequently asked questions
What is Dr. Kathleen Smith's medical specialty?
Dr. Kathleen Smith practices Adult Health Clinical Nurse Specialist in Peoria, IL.
Where does Dr. Kathleen Smith practice?
Dr. Kathleen Smith practices at 900 Main Street Suite 280, Peoria, IL 616364688. Office phone: 3096436118.
What is Dr. Kathleen Smith's NPI?
Dr. Kathleen Smith's National Provider Identifier (NPI) is 1992109755, issued by NPPES.
Does Dr. Kathleen Smith accept Medicare assignment?
Yes. Dr. Kathleen Smith accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kathleen Smith commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99215); Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.