STEPHANIE ERNESTA SMITH PA-C
NPI 1508275603
Physician Assistant in Maplewood, MN

Active since August 04, 2014PECOS EnrolledAccepts Medicare Assignment
90.75/100
CMS Quality Rating
1580 BEAM AVE, MAPLEWOOD, MN 55109(651) 779-7978(651) 779-7656 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 23, 2025, Oct 16, 2018, Sep 24, 2018 and 1 more (4 updates tracked since 2015).

About Stephanie Ernesta Smith Pa-c NPPES

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

STEPHANIE ERNESTA SMITH PA-C (NPI 1508275603) is an individual physician assistant in Maplewood, Minnesota, licensed in Minnesota (11653) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and maintains a secondary practice location in Hudson.

NPPES Registry Identity

NPI1508275603
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTEPHANIE ERNESTA SMITHCredential: PA-C
Location Address1580 BEAM AVEMaplewood, MN 55109-1127
Mailing Address2550 University Ave W Ste 110nSaint Paul, MN 55114-2001 · (651) 602-5311 · Fax (651) 222-6786
Fax(651) 779-7656
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 4, 2014
Last NPPES UpdateMay 23, 20254 updates tracked since enumeration
NPPES CertifiedMay 23, 2025
NPI 1508275603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in MN · 11653 Licensed in WI · 7134-23
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.
1580 BEAM AVE, Maplewood, MN 55109

Other Names 1

Former Name (1)Stephanie Ernesta Johnson Pa-c

Secondary Practice Location 1

Location 12651 Hillcrest Dr Ste 105Hudson, WI 54016-9919 · Phone (715) 280-9151

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

Stephanie Ernesta Smith Pa-c 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 ID3476774225
PECOS Enrollment IDI20141021001736
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.

Areas of Expertise CMS Part B claims 26

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
327 services151 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
301 services144 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
206 services98 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
143 services106 patients
Gammaglobulin (immune system protein) measurement 82784
Gammaglobulin measurement is a blood test that checks the levels of certain proteins (gammaglobulins) that the body uses to fight infections. High or low levels can indicate various health conditions. It's a simple, quick procedure with minimal discomfort.
93 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
93 services74 patients

Hospital Affiliations CMS Care Compare 3

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

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Ridgeview Medical Center

Acute Care Hospitals · Waconia, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240056
Location500 South Maple StreetWaconia, MN 55387 · Carver County
Emergency services Birthing friendly

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55109 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.64
Promoting Interoperability99
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers12 claims62 services$2.02 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.

Internal Medicine (Hematology & Oncology)
1580 BEAM AVE
MAPLEWOOD, MN 55109
Physician Assistant
1580 BEAM AVE
MAPLEWOOD, MN 55109
Pharmacy (Clinic Pharmacy)
1580 BEAM AVE
MAPLEWOOD, MN 55109
Radiology (Radiation Oncology)
1580 BEAM AVE
MAPLEWOOD, MN 55109
Internal Medicine (Hematology & Oncology)
1580 BEAM AVE
MAPLEWOOD, MN 55109
Pharmacist (Oncology)
1580 BEAM AVE
MAPLEWOOD, MN 55109
Internal Medicine (Hematology & Oncology)
1580 BEAM AVE
MAPLEWOOD, MN 55109
Radiology (Radiation Oncology)
1580 BEAM AVE
MAPLEWOOD, MN 55109

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 Stephanie Smith's NPI number?

The NPI number for Stephanie Smith is 1508275603. It was assigned to this individual provider in the NPPES registry on August 4, 2014. The provider is also known as Stephanie Ernesta Johnson Pa-C.

Where is Stephanie Smith located?

Stephanie Smith practices at 1580 Beam Ave, Maplewood, MN 55109. The listed phone number is (651) 779-7978.

What is Stephanie Smith's specialty?

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

Is Stephanie Smith enrolled in Medicare?

Yes. Stephanie 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 Stephanie Smith accept?

Health plans from HealthPartners and Medica list Stephanie 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 Stephanie Smith affiliated with any hospitals?

According to CMS data, Stephanie Smith is affiliated with Allina United Hospital, Ridgeview Medical Center and M Health Fairview St John's Hospital.

When was this NPI record last updated?

The NPPES record for Stephanie Smith was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.