SARA L SMITH PA-C
NPI 1497980684
Physician Assistant in Holland, MI

Q: What is Sara Smith's NPI number?

The NPI number for Sara Smith is 1497980684. It was assigned to this individual provider in the NPPES registry on May 18, 2009. The provider is also known as Sara L Waisanen.

Q: What is Sara Smith's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sara Smith was last updated on October 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 May 18, 2009PECOS Enrolled

336 S RIVER AVE, HOLLAND, MI 49423(616) 394-3788 Get Directions Write a Review

NPPES record last updated: October 14, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sara L Smith Pa-c NPPES

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

SARA L SMITH PA-C (NPI 1497980684) is an individual physician assistant in Holland, Michigan, licensed in Michigan (5601005502) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497980684

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSARA L SMITHCredential: PA-C

Location Address336 S RIVER AVEHolland, MI 49423-3326

Mailing Address4085 Burton St Se, Suite 200Grand Rapids, MI 49546-2444

Phone(616) 394-3788

Sole ProprietorNo

Enumeration DateMay 18, 2009

Last NPPES UpdateOctober 14, 2009

✔ NPI 1497980684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601005502

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.

336 S RIVER AVE, Holland, MI 49423

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Other Names 1

Former Name (1)Sara L Waisanen

Other Identifiers 1

Medicare PINN91970020MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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)

Sara L 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49423 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

2 suppliers11 claims330 services$7.66 avg. paid by Medicare

Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims362 services$5.50 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims3,675 services$0.43 avg. paid by Medicare

Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153

Other-Enteral and Parenteral · category OB006N

2 suppliers11 claims3,645 services$1.36 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 15

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

JEAN E MARTIN NP

Nurse Practitioner