LISA KAY SMITH MD
NPI 1366498131
Family Medicine - Addiction Medicine in Grand Rapids, MI

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
75 SHELDON AVE SE STE 100, GRAND RAPIDS, MI 49503(616) 391-6120 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2024, Feb 1, 2023 (2 updates tracked since 2023).

About Lisa Kay Smith Md NPPES

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

LISA KAY SMITH MD (NPI 1366498131) is an individual addiction medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301080102) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Wayne State University School Of Medicine (2002).

NPPES Registry Identity

NPI1366498131
Entity TypeIndividualFemale
Primary Taxonomy207QA0401X
Provider Legal NameLISA KAY SMITHCredential: MD
Location Address75 SHELDON AVE SE STE 100Grand Rapids, MI 49503-4224
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2002
Enumeration DateMay 25, 2006
Last NPPES UpdateJuly 14, 20252 updates tracked since enumeration
NPPES CertifiedJuly 14, 2025
NPI 1366498131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License Licensed in MI · 4301080102
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 4301080102 (MI)
75 SHELDON AVE SE STE 100, Grand Rapids, MI 49503

Other Names 1

Former Name (1)Lisa Smith

Accepted Insurance

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

Lisa Kay Smith Md 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.

PECOS PAC ID9830122878
PECOS Enrollment IDI20050912000430
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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 7

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

Family Medicine
75 SHELDON AVE SE STE 100
GRAND RAPIDS, MI 49503
Physician Assistant
75 SHELDON AVE SE STE 100
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
75 SHELDON AVE SE STE 100
GRAND RAPIDS, MI 49503
Physician Assistant
75 SHELDON AVE SE STE 100
GRAND RAPIDS, MI 49503
Nurse Practitioner (Psychiatric/Mental Health)
75 SHELDON AVE SE STE 100
GRAND RAPIDS, MI 49503
Internal Medicine (Addiction Medicine)
75 SHELDON AVE SE STE 100
GRAND RAPIDS, MI 49503
Nurse Practitioner (Family)
75 SHELDON AVE SE STE 100
GRAND RAPIDS, MI 49503

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 Lisa Smith's NPI number?

The NPI number for Lisa Smith is 1366498131. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Lisa Smith located?

Lisa Smith practices at 75 Sheldon Ave SE Ste 100, Grand Rapids, MI 49503. The listed phone number is (616) 391-6120.

What is Lisa Smith's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Lisa Smith enrolled in Medicare?

Yes. Lisa 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.

What insurance does Lisa Smith accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, McLaren Health Plan Community and Oscar Insurance Company and 2 other insurers list Lisa Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lisa Smith affiliated with any hospitals?

According to CMS data, Lisa Smith is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Lisa Smith was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.