ELAINE M SMITH PA
NPI 1285684662
Physician Assistant in Green Bay, WI
About Elaine M Smith Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELAINE M SMITH PA (NPI 1285684662) is an individual physician assistant in Green Bay, Wisconsin, licensed in Wisconsin (1317) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elaine M Smith Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54304 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 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GREEN BAY, WI 54304
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 Elaine Smith's NPI number?
The NPI number for Elaine Smith is 1285684662. It was assigned to this individual provider in the NPPES registry on May 10, 2006.
Where is Elaine Smith located?
Elaine Smith practices at 301 Bay Park Sq, Green Bay, WI 54304. The listed phone number is (920) 592-9475.
What is Elaine Smith's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Elaine Smith enrolled in Medicare?
Yes. Elaine Smith is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Elaine Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Elaine M Smith, PA · NPI 1285684662
Physician Assistant physician in Green Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since May 10, 2006.
## Identity
- **NPI:** 1285684662 (Entity type: Individual)
- **Enumerated:** May 10, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 1317 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 BAY PARK SQ, Green Bay, WI 54304-5104
- **Phone:** (920) 592-9475
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicaid 39842400 (WI); Other 1317-023 (WI); Medicare UPIN P23088 (WI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1285684662) · Data from the CMS NPPES public registry.