AMY PITTLICK SMITH NP
NPI 1013907096
Nurse Practitioner - Family in South Lake Tahoe, CA
About Amy Pittlick Smith Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY PITTLICK SMITH NP (NPI 1013907096) is an individual family provider in South Lake Tahoe, California, licensed in California (13943) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amy Pittlick Smith Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Amy Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
South Lake Tahoe, CA 96150
- Reassigned Medicare billing, California enrollment
- 148 clinicians in this Medicare group
South Lake Tahoe, CA 96150
- Reassigned Medicare billing, California enrollment
- 100 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 96150 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Amy Smith's NPI number?
The NPI number for Amy Smith is 1013907096. It was assigned to this individual provider in the NPPES registry on October 21, 2005. The provider is also known as Amy Diana Pittlick Fnp.
Where is Amy Smith located?
Amy Smith practices at 2170 South Ave, South Lake Tahoe, CA 96150. The listed phone number is (530) 539-6620.
What is Amy Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amy Smith enrolled in Medicare?
Yes. Amy Smith is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Amy Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Smith reassigns Medicare benefits to 2 organizations: Barton Medical Foundation (South Lake Tahoe, CA) and Tahoe Carson Valley Medical Group Inc (South Lake Tahoe, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Amy Smith was last updated on December 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Amy Pittlick Smith, NP · NPI 1013907096
Family physician in South Lake Tahoe, California. Individual provider, active in the CMS NPPES registry since October 21, 2005.
## Identity
- **NPI:** 1013907096 (Entity type: Individual)
- **Enumerated:** October 21, 2005
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 13943 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2170 SOUTH AVE, South Lake Tahoe, CA 96150-7026
- **Phone:** (530) 539-6620 · **Fax:** (530) 539-6617
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Barton Medical Foundation (NPI 1750950499, South Lake Tahoe, CA); Tahoe Carson Valley Medical Group Inc (NPI 1508865528, South Lake Tahoe, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 13, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1013907096) · Data from the CMS NPPES public registry.