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ALYSSA SMITH PA-C
NPI 1407321680
Physician Assistant - Medical in Salt Lake City, UT

Active since October 03, 2018PECOS Enrolled
1160 E 3900 S STE 1200, SALT LAKE CITY, UT 84124(801) 261-9651(801) 261-9656 Get Directions Write a Review

NPPES record last updated: February 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2022, Jan 27, 2022, Feb 11, 2019 and 1 more (4 updates tracked since 2018).

About Alyssa Smith Pa-c NPPES

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

ALYSSA SMITH PA-C (NPI 1407321680) is an individual medical provider in Salt Lake City, Utah and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407321680
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameALYSSA SMITHCredential: PA-C
Location Address1160 E 3900 S STE 1200Salt Lake City, UT 84124-1251
Mailing Address5630 S Waterbury Way Ste B102Salt Lake City, UT 84121-6209 · (801) 274-2000 · Fax (801) 274-2000
Phone(801) 261-9651
Fax(801) 261-9656
Sole ProprietorNo
Enumeration DateOctober 3, 2018
Last NPPES UpdateFebruary 7, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2022
✔ NPI 1407321680 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
1160 E 3900 S STE 1200, Salt Lake City, UT 84124
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa 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 2

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

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier29 claims33 services$23.37 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
1 supplier22 claims22 services$67.09 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 2

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

LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
1160 E 3900 S STE 1200
SALT LAKE CITY, UT 84124
Salt Lake County (801) 261-6300
CELESTE KNIGHT PETERSON MD
Internal Medicine
1160 E 3900 S STE 1200
SALT LAKE CITY, UT 84124
Salt Lake County (801) 365-0909

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 Alyssa Smith's NPI number?

The NPI number for Alyssa Smith is 1407321680. It was assigned to this individual provider in the NPPES registry on October 3, 2018.

Where is Alyssa Smith located?

Alyssa Smith practices at 1160 E 3900 S Ste 1200, Salt Lake City, UT 84124. The listed phone number is (801) 261-9651.

What is Alyssa Smith's specialty?

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

Is Alyssa Smith enrolled in Medicare?

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

What insurance does Alyssa Smith accept?

Health plans from Select Health list Alyssa 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.

When was this NPI record last updated?

The NPPES record for Alyssa Smith was last updated on February 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.