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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MACKENNA ELIZABETH SMITH
NPI 1396691184
Physician Assistant in Boulder, CO

Active since March 05, 2026
4820 RIVERBEND RD, BOULDER, CO 80301(303) 665-0286(303) 666-5112 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 21, 2026, Mar 5, 2026 (2 updates tracked since 2026).

About Mackenna Elizabeth Smith NPPES

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

MACKENNA ELIZABETH SMITH (NPI 1396691184) is an individual physician assistant in Boulder, Colorado and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1396691184
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMACKENNA ELIZABETH SMITH
Location Address4820 RIVERBEND RDBoulder, CO 80301-2618
Mailing Address1420 Renaissance Dr Apt E306Longmont, CO 80503-6980
Phone(303) 665-0286
Fax(303) 666-5112
Sole ProprietorYes
Enumeration DateMarch 5, 2026
Last NPPES UpdateSeptember 21, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ NPI 1396691184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
4820 RIVERBEND RD, Boulder, CO 80301
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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 Mackenna Smith's NPI number?

The NPI number for Mackenna Smith is 1396691184. It was assigned to this individual provider in the NPPES registry on March 5, 2026.

Where is Mackenna Smith located?

Mackenna Smith practices at 4820 Riverbend Rd, Boulder, CO 80301. The listed phone number is (303) 665-0286.

What is Mackenna Smith's specialty?

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

When was this NPI record last updated?

The NPPES record for Mackenna Smith was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.