Caitlyn Tennile Smith, FNP-C
NPI 1104779370ActiveIndividual· Nurse Practitioner, Family· Mexico, MO
Nurse Practitioner, Family (FNP-C) with Boone Physician Services LLC, practicing in Mexico, Missouri. Enrolled in Medicare as practitioner - nurse practitioner. Lists Boone Hospital Center as a hospital affiliation.
Overview
| NPI | 1104779370 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | No |
| NPI issued | Feb 18, 2026 |
| Last updated in NPPES | Feb 18, 2026 |
| Certified by provider | Feb 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 2026003647 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MO) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Boone Physician Services LLCColumbia, MO · 250 clinicians
Hospital affiliation
- Boone Hospital CenterColumbia, MO
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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