PATRICK KELLY SMITH PAC
NPI 1124016951
Physician Assistant in Lynnwood, WA
About Patrick Kelly Smith Pac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRICK KELLY SMITH PAC (NPI 1124016951) is an individual physician assistant in Lynnwood, Washington, licensed in Washington (PA60940050) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 4
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
Patrick Kelly Smith Pac 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98036 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Patrick Smith's NPI number?
The NPI number for Patrick Smith is 1124016951. It was assigned to this individual provider in the NPPES registry on October 6, 2005.
Where is Patrick Smith located?
Patrick Smith practices at 20200 54th Ave W, Lynnwood, WA 98036. The listed phone number is (425) 672-6400.
What is Patrick Smith's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Patrick Smith enrolled in Medicare?
Yes. Patrick 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.
When was this NPI record last updated?
The NPPES record for Patrick Smith was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Patrick Kelly Smith, PAC · NPI 1124016951
Physician Assistant physician in Lynnwood, Washington. Individual provider, active in the CMS NPPES registry since October 6, 2005.
## Identity
- **NPI:** 1124016951 (Entity type: Individual)
- **Enumerated:** October 6, 2005
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA60940050 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 20200 54TH AVE W, Lynnwood, WA 98036-6318
- **Phone:** (425) 672-6400
## 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 2003
## Record status
- **NPPES last updated:** May 5, 2021
- **Other identifiers:** Other 3381330 (MI); Other 201 (MI); Other 142901; and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1124016951) · Data from the CMS NPPES public registry.