MRS. NIKEDA MARIE SMITH PA
NPI 1578808556
Physician Assistant in Stony Brook, NY

Q: What is Nikeda Smith's NPI number?

The NPI number for Nikeda Smith is 1578808556. It was assigned to this individual provider in the NPPES registry on December 3, 2012.

Q: What is Nikeda 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 Nikeda Smith was last updated on March 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 December 03, 2012PECOS Enrolled

101 NICOLLS RD, HSC, LEVEL 4, ROOM 050, STONY BROOK, NY 11794(631) 445-2478 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 3, 2020, Feb 26, 2018 (2 updates tracked since 2018).

On this page

About Mrs. Nikeda Marie Smith Pa NPPES

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

MRS. NIKEDA MARIE SMITH PA (NPI 1578808556) is an individual physician assistant in Stony Brook, New York, licensed in New York (016219) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578808556

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. NIKEDA MARIE SMITHCredential: PA

Location Address101 NICOLLS RD, HSC, LEVEL 4, ROOM 050Stony Brook, NY 11794-8350

Mailing AddressPo Box 1559Stony Brook, NY 11790-0989

Phone(631) 445-2478

Sole ProprietorYes

Enumeration DateDecember 3, 2012

Last NPPES UpdateMarch 3, 20202 updates tracked since enumeration

NPPES CertifiedMarch 3, 2020

✔ NPI 1578808556 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 NY · 016219

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.

101 NICOLLS RD, Stony Brook, NY 11794

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Nikeda Marie Smith Pa 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 11794 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

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.

NARINDER SINGH M.D.

Internal Medicine