JOSHUA SMITH PA-C
NPI 1356892004
Physician Assistant - Medical in Marion, IL

Q: What is Joshua Smith's NPI number?

The NPI number for Joshua Smith is 1356892004. It was assigned to this individual provider in the NPPES registry on October 18, 2016.

Q: What is Joshua Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Joshua Smith was last updated on December 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 18, 2016PECOS Enrolled

2401 W MAIN ST, MARION, IL 62959(618) 997-5311 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 27, 2022, Jul 21, 2022, Jun 12, 2017 and 1 more (4 updates tracked since 2016).

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About Joshua Smith Pa-c NPPES

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

JOSHUA SMITH PA-C (NPI 1356892004) is an individual medical provider in Marion, Illinois, licensed in Illinois (085005979) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356892004

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameJOSHUA SMITHCredential: PA-C

Location Address2401 W MAIN STMarion, IL 62959-1188

Mailing Address2401 W Main StMarion, IL 62959-1188 · (618) 997-5311

Phone(618) 997-5311

Sole ProprietorNo

Enumeration DateOctober 18, 2016

Last NPPES UpdateDecember 27, 20224 updates tracked since enumeration

NPPES CertifiedDecember 27, 2022

✔ NPI 1356892004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in IL · 085005979

2401 W MAIN ST, Marion, IL 62959

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Other Identifiers 1

Other214881IL · Medicare Group Ptan

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joshua Smith Pa-c 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$922.57 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers24 claims24 services$113.71 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier16 claims16 services$38.32 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MICHELE A OTTO RN

Registered Nurse