MS. NICOLE K SMITH PA-C
NPI 1003986878
Physician Assistant - Medical in Gettysburg, PA

Active since November 09, 2006PECOS EnrolledAccepts Medicare Assignment
40 V TWIN DR, STE 202, GETTYSBURG, PA 17325(717) 339-2710(717) 339-2711 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 7, 2023, Feb 28, 2017 (2 updates tracked since 2017).

About Ms. Nicole K Smith Pa-c NPPES

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

MS. NICOLE K SMITH PA-C (NPI 1003986878) is an individual medical provider in Gettysburg, Pennsylvania, licensed in Pennsylvania (MA050968) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1003986878
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. NICOLE K SMITHCredential: PA-C
Location Address40 V TWIN DR, STE 202Gettysburg, PA 17325-1926
Mailing Address3421 Concord RdYork, PA 17402-9001 · (717) 339-2710 · Fax (717) 339-2711
Fax(717) 339-2711
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateNovember 9, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPI 1003986878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in PA · MA050968
Also ListedPhysician AssistantTaxonomy 363A00000X · License MA050968 (PA)
40 V TWIN DR, Gettysburg, PA 17325

Other Names 1

Other Name (5)Ms. Nicole K Denisi Brandon Mpasc

Other Identifiers 4

Other1602843PA · Gateway Medicare Assured
Other2566850PA · Highmark Blue Shield - Freedom Blue
OtherMA05096APA · Dept Of State Bureau Of P
Medicaid00549500PA

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

Ms. Nicole K 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 ID9436311008
PECOS Enrollment IDI20120426000271
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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
372 services116 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Gettysburg Hospital

Acute Care Hospitals · Gettysburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390065
Location147 Gettys StreetGettysburg, PA 17325 · Adams County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Contractor
40 V TWIN DR, ROOM 2512
GETTYSBURG, PA 17325
Internal Medicine (Medical Oncology)
40 V TWIN DR, SUITE 104
GETTYSBURG, PA 17325
Contractor
40 V TWIN DR, ROOM 2512
GETTYSBURG, PA 17325
Nurse Practitioner (Family)
40 V TWIN DR, SUITE 205
GETTYSBURG, PA 17325
Social Worker (Clinical)
40 V TWIN DR, STE 202
GETTYSBURG, PA 17325
Massage Therapist
40 V TWIN DR, SUITE 205 ROOM 2512
GETTYSBURG, PA 17325
Psychologist (Clinical)
40 V TWIN DR, STE 202
GETTYSBURG, PA 17325
Nurse Practitioner (Family)
40 V TWIN DR, STE 205
GETTYSBURG, PA 17325

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003986878, enumerated as an "individual" on November 09, 2006.

The provider is located at 40 V TWIN DR STE 202 GETTYSBURG, PA 17325 and the phone number is (717) 339-2710.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to verify.

Nicole Smith is affiliated with: WELLSPAN YORK HOSPITAL and GETTYSBURG HOSPITAL.