KATIE MARIE SMITH PA-C
NPI 1003068628
Physician Assistant - Medical in Evergreen, CO

Active since October 14, 2008PECOS EnrolledAccepts Medicare Assignment
32214 ELLINGWOOD TRL, SUITE #210, EVERGREEN, CO 80439(303) 679-2020 Get Directions Write a Review

NPPES record last updated: October 23, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katie Marie Smith Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATIE MARIE SMITH PA-C (NPI 1003068628) is an individual medical provider in Evergreen, Colorado, licensed in Colorado (2609) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1003068628
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKATIE MARIE SMITHCredential: PA-C
Location Address32214 ELLINGWOOD TRL, SUITE #210Evergreen, CO 80439-9779
Mailing Address32214 Ellingwood Trl, Suite #210Evergreen, CO 80439-9779 · (303) 679-2020
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 14, 2008
Last NPPES UpdateOctober 23, 2012
NPI 1003068628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CO · 2609
32214 ELLINGWOOD TRL, Evergreen, CO 80439

Other Identifiers 1

Other1082610CO · Nccpa

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Katie Marie Smith Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537345897
PECOS Enrollment IDI20110520000567
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
102 services62 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
49 services49 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services30 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services18 patients

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471
DME-Other DME · category DE001N
1 supplier11 claims11 services$262.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
32214 ELLINGWOOD TRL, SUITE 210
EVERGREEN, CO 80439
Physician Assistant
32214 ELLINGWOOD TRL, SUITE 210
EVERGREEN, CO 80439
Family Medicine
32214 ELLINGWOOD TRL, STE 210
EVERGREEN, CO 80439
Family Medicine
32214 ELLINGWOOD TRL, SUITE 210
EVERGREEN, CO 80439
Social Worker (Clinical)
32214 ELLINGWOOD TRL
EVERGREEN, CO 80439

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katie Smith's NPI number?

The NPI number for Katie Smith is 1003068628. It was assigned to this individual provider in the NPPES registry on October 14, 2008.

Where is Katie Smith located?

Katie Smith practices at 32214 Ellingwood Trl Suite #210, Evergreen, CO 80439. The listed phone number is (303) 679-2020.

What is Katie Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Katie Smith enrolled in Medicare?

Yes. Katie Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Katie Smith was last updated on October 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.