STACIE RENEE SMITH PA
NPI 1619128360
Physician Assistant - Medical in Little Rock, AR

Active since September 30, 2008PECOS EnrolledAccepts Medicare Assignment
108 N SHACKLEFORD RD, LITTLE ROCK, AR 72211(501) 712-2571(501) 404-7789 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacie Renee Smith Pa NPPES

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

STACIE RENEE SMITH PA (NPI 1619128360) is an individual medical provider in Little Rock, Arkansas, licensed in Arkansas (PA-359) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1619128360
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSTACIE RENEE SMITHCredential: PA
Location Address108 N SHACKLEFORD RDLittle Rock, AR 72211-2840
Mailing Address108 N Shackleford RdLittle Rock, AR 72211-2840 · (501) 712-2571 · Fax (501) 404-7789
Fax(501) 404-7789
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 30, 2008
Last NPPES UpdateApril 5, 2022
NPPES CertifiedApril 5, 2022
NPI 1619128360 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
License Licensed in AR · PA-359
108 N SHACKLEFORD RD, Little Rock, AR 72211

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

Stacie Renee Smith Pa 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 ID6103986021
PECOS Enrollment IDI20240708000821
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 2

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.

Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
47 services44 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.
43 services39 patients

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.

Psychologist
108 N SHACKLEFORD RD
LITTLE ROCK, AR 72211
Physical Therapist
108 N SHACKLEFORD RD
LITTLE ROCK, AR 72211
Nurse Practitioner (Family)
108 N SHACKLEFORD RD
LITTLE ROCK, AR 72211
Nurse Practitioner (Family)
108 N SHACKLEFORD RD
LITTLE ROCK, AR 72211
Home Infusion
108 N SHACKLEFORD RD
LITTLE ROCK, AR 72211
Home Infusion
108 N SHACKLEFORD RD
LITTLE ROCK, AR 72211
Durable Medical Equipment & Medical Supplies
108 N SHACKLEFORD RD
LITTLE ROCK, AR 72211
Nurse Practitioner (Family)
108 N SHACKLEFORD RD
LITTLE ROCK, AR 72211

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 Stacie Smith's NPI number?

The NPI number for Stacie Smith is 1619128360. It was assigned to this individual provider in the NPPES registry on September 30, 2008.

Where is Stacie Smith located?

Stacie Smith practices at 108 N Shackleford Rd, Little Rock, AR 72211. The listed phone number is (501) 712-2571.

What is Stacie Smith's specialty?

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

Is Stacie Smith enrolled in Medicare?

Yes. Stacie 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 Stacie Smith accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Stacie 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 Stacie Smith was last updated on April 5, 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.