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MR. ANTHONY NELSON SMITH P.A.
NPI 1083664981
Physician Assistant - Surgical in Silverton, OR

Active since May 11, 2006Opted out of Medicare · through Jan 1, 2027
450 WELCH STREET, SILVERTON, OR 97381(503) 873-8740(503) 873-2470 Get Directions Write a Review

NPPES record last updated: August 12, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Anthony Nelson Smith P.a. NPPES

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

MR. ANTHONY NELSON SMITH P.A. (NPI 1083664981) is an individual surgical provider in Silverton, Oregon, licensed in Oregon (PA176235) and active in the NPI registry since May 2006. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1083664981
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. ANTHONY NELSON SMITHCredential: P.A.
Location Address450 WELCH STREETSilverton, OR 97381
Mailing AddressPo Box 278Woodburn, OR 97071 · (971) 983-5260 · Fax (971) 983-5326
Phone(503) 873-8740
Fax(503) 873-2470
Sole ProprietorNo
Enumeration DateMay 11, 2006
Last NPPES UpdateAugust 12, 2016
✔ NPI 1083664981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in OR · PA176235✔ Licensed in WA · PA10005000
450 WELCH STREET, Silverton, OR 97381
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Other Identifiers 3

Medicaid8452211WA
Medicare UPINQ67315WA
Medicare PIN8859543WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Anthony Nelson Smith P.a. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2023 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2023
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Anthony Smith's NPI number?

The NPI number for Anthony Smith is 1083664981. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Anthony Smith located?

Anthony Smith practices at 450 Welch Street, Silverton, OR 97381. The listed phone number is (503) 873-8740.

What is Anthony Smith's specialty?

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

Is Anthony Smith enrolled in Medicare?

No. Anthony Smith has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Anthony Smith was last updated on August 12, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.