CARLY NICOLE SMITH PA-C
NPI 1043645690
Physician Assistant in Minnetonka, MN
About Carly Nicole Smith Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLY NICOLE SMITH PA-C (NPI 1043645690) is an individual physician assistant in Minnetonka, Minnesota, licensed in Minnesota (11656) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
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
Carly Nicole 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Abbott Northwestern Hospital
Acute Care Hospitals · Minneapolis, MNBuffalo Hospital
Acute Care Hospitals · Buffalo, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55343 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.
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 Carly Smith's NPI number?
The NPI number for Carly Smith is 1043645690. It was assigned to this individual provider in the NPPES registry on September 13, 2013. The provider is also known as Carly Nicole Larson Pa-C.
Where is Carly Smith located?
Carly Smith practices at 5435 Feltl Rd, Minnetonka, MN 55343. The listed phone number is (952) 835-9880.
What is Carly Smith's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Carly Smith enrolled in Medicare?
Yes. Carly 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.
What insurance does Carly Smith accept?
Health plans from HealthPartners and Medica list Carly Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Carly Smith affiliated with any hospitals?
According to CMS data, Carly Smith is affiliated with Abbott Northwestern Hospital and Buffalo Hospital.
When was this NPI record last updated?
The NPPES record for Carly Smith was last updated on January 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Carly Nicole Smith, PA-C · NPI 1043645690
Physician Assistant physician in Minnetonka, Minnesota. Individual provider, active in the CMS NPPES registry since September 13, 2013.
## Identity
- **NPI:** 1043645690 (Entity type: Individual)
- **Enumerated:** September 13, 2013
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 11656 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 5435 FELTL RD, Minnetonka, MN 55343-7983
- **Phone:** (952) 835-9880
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** January 27, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1043645690) · Data from the CMS NPPES public registry.