AMANDA MARIE SMITH PA-C
NPI 1669574943
Physician Assistant in Clackamas, OR

Active since September 05, 2006PECOS EnrolledAccepts Medicare Assignment
9900 SE SUNNYSIDE RD, SUNNYBROOK MEDICAL OFFICE, CLACKAMAS, OR 97015(503) 786-8435 Get Directions Write a Review

NPPES record last updated: July 10, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Marie Smith Pa-c NPPES

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

AMANDA MARIE SMITH PA-C (NPI 1669574943) is an individual physician assistant in Clackamas, Oregon, licensed in Oregon (OR PA01036) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1669574943
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMANDA MARIE SMITHCredential: PA-C
Location Address9900 SE SUNNYSIDE RD, SUNNYBROOK MEDICAL OFFICEClackamas, OR 97015-9777
Mailing Address5913 N Commercial AvePortland, OR 97217-2014 · (360) 461-3933
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 5, 2006
Last NPPES UpdateJuly 10, 2007
NPI 1669574943 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 OR · OR PA01036
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.
9900 SE SUNNYSIDE RD, Clackamas, OR 97015

Other Names 1

Former Name (1)Amanda Marie Clark Pa-c

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

Amanda Marie 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 ID7517996549
PECOS Enrollment IDI20050809001113, I20210426002869
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 97015 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

Orthopaedic Surgery
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Internal Medicine (Nephrology)
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Dermatology
9900 SE SUNNYSIDE RD, NW PERMANENTE PC, PHYSICIANS AND SURGEONS
CLACKAMAS, OR 97015
Orthopaedic Surgery
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Physician Assistant (Medical)
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Counselor (Mental Health)
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Internal Medicine (Gastroenterology)
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Dietitian, Registered
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

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 Amanda Smith's NPI number?

The NPI number for Amanda Smith is 1669574943. It was assigned to this individual provider in the NPPES registry on September 5, 2006. The provider is also known as Amanda Marie Clark Pa-C.

Where is Amanda Smith located?

Amanda Smith practices at 9900 SE Sunnyside Rd Sunnybrook Medical Office, Clackamas, OR 97015. The listed phone number is (503) 786-8435.

What is Amanda Smith's specialty?

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

Is Amanda Smith enrolled in Medicare?

Yes. Amanda 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 Amanda Smith accept?

Health plans from Kaiser Permanente list Amanda 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 Amanda Smith was last updated on July 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.