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EDA SMITH PA-C
NPI 1053941005
Physician Assistant in Las Vegas, NV

Active since January 17, 2020PECOS Enrolled
2911 N TENAYA WAY STE 105, LAS VEGAS, NV 89128(702) 252-8378 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2025, Apr 2, 2025, Aug 21, 2022 and 2 more (5 updates tracked since 2020).

About Eda Smith Pa-c NPPES

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

EDA SMITH PA-C (NPI 1053941005) is an individual physician assistant in Las Vegas, Nevada, licensed in Nevada (PA2683) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1053941005
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameEDA SMITHCredential: PA-C
Location Address2911 N TENAYA WAY STE 105Las Vegas, NV 89128-0488
Mailing Address3009 Hawksdale Dr # 469Las Vegas, NV 89134-8967
Phone(702) 252-8378
Sole ProprietorNo
Enumeration DateJanuary 17, 2020
Last NPPES UpdateJune 10, 20255 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1053941005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NV · PA2683
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2911 N TENAYA WAY STE 105, Las Vegas, NV 89128
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Secondary Practice Location 1

Location 19701 W Flamingo Rd Ste 4Las Vegas, NV 89147-5727 · Phone (702) 240-3929

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eda Smith Pa-c 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 89128 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

SHANNON ROSE HUTTON PA-C
Physician Assistant
2911 N TENAYA WAY STE 105
LAS VEGAS, NV 89128
Clark County (702) 252-8378
REBECCA SEATON PA-C
Physician Assistant
2911 N TENAYA WAY STE 105
LAS VEGAS, NV 89128
Clark County (702) 252-8378

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 Eda Smith's NPI number?

The NPI number for Eda Smith is 1053941005. It was assigned to this individual provider in the NPPES registry on January 17, 2020.

Where is Eda Smith located?

Eda Smith practices at 2911 N Tenaya Way Ste 105, Las Vegas, NV 89128. The listed phone number is (702) 252-8378.

What is Eda Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Eda Smith enrolled in Medicare?

Yes. Eda Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eda Smith was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.