AMY PITTLICK SMITH NP
NPI 1013907096
Nurse Practitioner - Family in South Lake Tahoe, CA

Active since October 21, 2005PECOS Enrolled
93.73/100
CMS Quality Rating
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150(530) 539-6620(530) 539-6617 Get Directions Write a Review

NPPES record last updated: December 13, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1013907096
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMY PITTLICK SMITHCredential: NP
Location Address2170 SOUTH AVESouth Lake Tahoe, CA 96150-7026
Mailing Address1111 Emerald Bay RdSouth Lake Tahoe, CA 96150-6207 · (530) 543-5659 · Fax (530) 541-8723
Fax(530) 539-6617
Sole ProprietorNo
Enumeration DateOctober 21, 2005
Last NPPES UpdateDecember 13, 2018
NPI 1013907096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in CA · 13943 Licensed in NV · APRN001842
2170 SOUTH AVE, South Lake Tahoe, CA 96150

Other Names 1

Former Name (1)Amy Diana Pittlick Fnp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Amy Pittlick Smith Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

93.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.26
Promoting Interoperability100
Improvement Activities40

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$12.36 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$57.16 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 20

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

General Acute Care Hospital
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Physical Therapist
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Physical Therapist
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Pathology (Cytopathology)
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Anesthesiology
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Orthopaedic Surgery
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Internal Medicine
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Physical Therapist
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150

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.

When was this NPI record last updated?

The NPPES record for Amy Smith was last updated on December 13, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.