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MOLLY BEADLE SMITH PA-C
NPI 1073006672
Physician Assistant - Surgical in St Louis Park, MN

Active since June 08, 2018PECOS EnrolledAccepts Medicare Assignment
5400 EXCELSIOR BLVD STE 150, ST LOUIS PARK, MN 55416(952) 993-1000(952) 993-1160 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2024, Jun 8, 2024, Aug 20, 2021 and 1 more (4 updates tracked since 2018).

About Molly Beadle Smith Pa-c NPPES

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

MOLLY BEADLE SMITH PA-C (NPI 1073006672) is an individual surgical provider in St Louis Park, Minnesota, licensed in Minnesota (14341) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1073006672
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMOLLY BEADLE SMITHCredential: PA-C
Location Address5400 EXCELSIOR BLVD STE 150St Louis Park, MN 55416-2913
Mailing Address3100 W Lake St Unit 527Minneapolis, MN 55416-2098 · (612) 670-0747
Phone(952) 993-1000
Fax(952) 993-1160
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 8, 2018
Last NPPES UpdateJune 19, 20244 updates tracked since enumeration
NPPES CertifiedJune 19, 2024
✔ NPI 1073006672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MN · 14341
Also ListedPhysician AssistantTaxonomy 363A00000X · License 085008251 (IL), 14341 (MN)
5400 EXCELSIOR BLVD STE 150, St Louis Park, MN 55416
Open in Google Maps ↗

Secondary Practice Locations 2

Location 114050 Fairview Dr Fl 2Burnsville, MN 55337-5713 · Phone (952) 993-6500
Location 29555 Upland Ln NMaple Grove, MN 55369-4485 · Phone (952) 993-1440

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Security Health Plan.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

Molly Beadle 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.

PECOS PAC ID2668722380
PECOS Enrollment IDI20240220002102
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

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 Molly Smith's NPI number?

The NPI number for Molly Smith is 1073006672. It was assigned to this individual provider in the NPPES registry on June 8, 2018.

Where is Molly Smith located?

Molly Smith practices at 5400 Excelsior Blvd Ste 150, St Louis Park, MN 55416. The listed phone number is (952) 993-1000.

What is Molly Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Molly Smith enrolled in Medicare?

Yes. Molly 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 Molly Smith accept?

Health plans from HealthPartners, Medica and Security Health Plan list Molly 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 Molly Smith affiliated with any hospitals?

According to CMS data, Molly Smith is affiliated with Park Nicollet Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Molly Smith was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.