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MS. PENNIE LOWANDA SMITH PA
NPI 1194732271
Physician Assistant in Harrisburg, IL

Active since August 02, 2006PECOS Enrolled
205 N MAIN ST, HARRISBURG, IL 62946(618) 253-8450(618) 253-8454 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 23, 2020, Aug 17, 2018 (2 updates tracked since 2018).

About Ms. Pennie Lowanda Smith Pa NPPES

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

MS. PENNIE LOWANDA SMITH PA (NPI 1194732271) is an individual physician assistant in Harrisburg, Illinois, licensed in Illinois (085001576) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Eldorado.

NPPES Registry Identity

NPI1194732271
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. PENNIE LOWANDA SMITHCredential: PA
Location Address205 N MAIN STHarrisburg, IL 62946-1256
Mailing AddressPo Box 3008Carbondale, IL 62902-3008 · (618) 734-4400 · Fax (618) 477-8557
Phone(618) 253-8450
Fax(618) 253-8454
Sole ProprietorNo
Enumeration DateAugust 2, 2006
Last NPPES UpdateOctober 23, 20202 updates tracked since enumeration
NPPES CertifiedOctober 23, 2020
✔ NPI 1194732271 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 IL · 085001576
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.
205 N MAIN ST, Harrisburg, IL 62946
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Secondary Practice Location 1

Location 11201 Pine StreetEldorado, IL 62930 · Phone (618) 273-3361 · Fax (618) 297-9638

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Pennie Lowanda Smith Pa 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 62946 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 8

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

COMMUNITY HEALTH & EMERGENCY SERVICES, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
205 N MAIN ST
HARRISBURG, IL 62946
Saline County (618) 253-8450
DR. RANDALL DAVID BELL DMD
Dentist (General Practice)
205 N MAIN ST
HARRISBURG, IL 62946
Saline County (618) 253-8450
JAMES A TUCKA LCSW
Social Worker (Clinical)
205 N MAIN ST
HARRISBURG, IL 62946
Saline County (618) 253-8450
MS. ELIZABETH ANN BEBOUT PAC
Physician Assistant
205 N MAIN ST, HARRISBURG MEDICAL CLINIC
HARRISBURG, IL 62946
Saline County (618) 253-8450
MELODI G EWING MD
Family Medicine
205 N MAIN ST
HARRISBURG, IL 62946
Saline County (618) 253-8450
COMMUNITY HEALTH & EMERGENCY SERVICES, INC.
Dentist (General Practice)
205 N MAIN ST
HARRISBURG, IL 62946
Saline County (618) 253-8450
JACQUELINE LEWIS PHDH
Dental Hygienist
205 N MAIN ST
HARRISBURG, IL 62946
Saline County (618) 253-8450
MRS. KARI NICOLE KOSTER R.N., A.P.R.N.
Nurse Practitioner (Psychiatric/Mental Health)
205 N MAIN ST
HARRISBURG, IL 62946
Saline County (630) 837-9000

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 Pennie Smith's NPI number?

The NPI number for Pennie Smith is 1194732271. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Pennie Smith located?

Pennie Smith practices at 205 N Main St, Harrisburg, IL 62946. The listed phone number is (618) 253-8450.

What is Pennie Smith's specialty?

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

Is Pennie Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Pennie Smith was last updated on October 23, 2020. 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.