MS. ANNTARA SMITH PA-C
NPI 1659309557
Physician Assistant in Boise, ID

Active since June 29, 2006PECOS Enrolled
1702 W FAIRVIEW AVE, BOISE, ID 83702(208) 957-7400 Get Directions Write a Review

NPPES record last updated: June 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Anntara Smith Pa-c NPPES

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

MS. ANNTARA SMITH PA-C (NPI 1659309557) is an individual physician assistant in Boise, Idaho, licensed in Idaho (PA482) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659309557
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. ANNTARA SMITHCredential: PA-C
Location Address1702 W FAIRVIEW AVEBoise, ID 83702-5121
Mailing Address1702 W Fairview AveBoise, ID 83702-5121 · (208) 957-7400
Sole ProprietorNo
Enumeration DateJune 29, 2006
Last NPPES UpdateJune 17, 2022
NPPES CertifiedJune 1, 2022
NPI 1659309557 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 ID · PA482
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.

1702 W FAIRVIEW AVE, Boise, ID 83702

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Anntara 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 83702 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 3

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

Orthopaedic Surgery (Sports Medicine)
1702 W FAIRVIEW AVE
BOISE, ID 83702
Orthopaedic Surgery (Sports Medicine)
1702 W FAIRVIEW AVE
BOISE, ID 83702
Physician Assistant
1702 W FAIRVIEW AVE
BOISE, ID 83702

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 Anntara Smith's NPI number?

The NPI number for Anntara Smith is 1659309557. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Anntara Smith located?

Anntara Smith practices at 1702 W Fairview Ave, Boise, ID 83702. The listed phone number is (208) 957-7400.

What is Anntara Smith's specialty?

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

Is Anntara Smith enrolled in Medicare?

Yes. Anntara Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anntara Smith was last updated on June 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.