LISA MARIE SMITH PA-C
NPI 1588064315
Physician Assistant in Salt Lake City, UT

Q: What is Lisa Smith's NPI number?

The NPI number for Lisa Smith is 1588064315. It was assigned to this individual provider in the NPPES registry on August 29, 2014.

Q: What is Lisa 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 Lisa Smith was last updated on September 21, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 29, 2014PECOS Enrolled

500 FOOTHILL DR, SALT LAKE CITY, UT 84148(801) 582-1565 Get Directions Write a Review

NPPES record last updated: September 21, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Lisa Marie Smith Pa-c NPPES

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

LISA MARIE SMITH PA-C (NPI 1588064315) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (9138975-8906) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588064315

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLISA MARIE SMITHCredential: PA-C

Location Address500 FOOTHILL DRSalt Lake City, UT 84148-0001

Mailing Address500 Foothill BlvdSalt Lake City, UT 84148-0001 · (801) 582-1565

Phone(801) 582-1565

Sole ProprietorNo

Enumeration DateAugust 29, 2014

Last NPPES UpdateSeptember 21, 2016

✔ NPI 1588064315 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 UT · 9138975-8906

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.

500 FOOTHILL DR, Salt Lake City, UT 84148

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Marie 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 84148 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

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.