MEAGAN CASSIDY SMITH DPM
NPI 1053102509
Student in an Organized Health Care Education/Training Program in Portland, OR
About Meagan Cassidy Smith Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEAGAN CASSIDY SMITH DPM (NPI 1053102509) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Meagan Cassidy Smith Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
PORTLAND, OR 97210
PORTLAND, OR 97210
PORTLAND, OR 97210
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 Meagan Smith's NPI number?
The NPI number for Meagan Smith is 1053102509. It was assigned to this individual provider in the NPPES registry on May 14, 2025.
Where is Meagan Smith located?
Meagan Smith practices at 1015 NW 22nd Ave, Portland, OR 97210. The listed phone number is (503) 413-8401.
What is Meagan Smith's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Meagan Smith enrolled in Medicare?
Yes. Meagan Smith is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Meagan Smith was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Meagan Cassidy Smith, DPM · NPI 1053102509
Student in an Organized Health Care Education/Training Program provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since May 14, 2025.
## Identity
- **NPI:** 1053102509 (Entity type: Individual)
- **Enumerated:** May 14, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1015 NW 22ND AVE, Portland, OR 97210-3025
- **Phone:** (503) 413-8401
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** June 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053102509) · Data from the CMS NPPES public registry.