MRS. KIMBERLY GRACE SCHMIDT PA
NPI 1710151949
Physician Assistant - Medical in Smithtown, NY

Active since April 18, 2008PECOS EnrolledAccepts Medicare Assignment
496 SMITHTOWN BYP STE 200, SMITHTOWN, NY 11787(631) 361-5300(631) 361-5301 Get Directions Write a Review

NPPES record last updated: October 25, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kimberly Grace Schmidt Pa NPPES

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

MRS. KIMBERLY GRACE SCHMIDT PA (NPI 1710151949) is an individual medical provider in Smithtown, New York, licensed in New York (007810) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Southold, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1710151949
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. KIMBERLY GRACE SCHMIDTCredential: PA
Location Address496 SMITHTOWN BYP STE 200Smithtown, NY 11787
Mailing Address496 Smithtown Byp Ste 200Smithtown, NY 11787-5011 · (631) 361-5300 · Fax (631) 361-5301
Fax(631) 361-5301
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateApril 18, 2008
Last NPPES UpdateOctober 25, 2018
NPI 1710151949 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 NY · 007810
496 SMITHTOWN BYP STE 200, Smithtown, NY 11787

Secondary Practice Location 1

Location 157190 Route 25Southold, NY 11971-4750 · Phone (631) 626-1006 · Fax (631) 477-6219

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

Mrs. Kimberly Grace Schmidt 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 ID5092979385
PECOS Enrollment IDI20120618000615
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.

Other Providers at the Same Location NPPES 2

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

Physician Assistant
496 SMITHTOWN BYP STE 200
SMITHTOWN, NY 11787
Nurse Practitioner (Family)
496 SMITHTOWN BYP STE 200
SMITHTOWN, NY 11787

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 Kimberly Schmidt's NPI number?

The NPI number for Kimberly Schmidt is 1710151949. It was assigned to this individual provider in the NPPES registry on April 18, 2008.

Where is Kimberly Schmidt located?

Kimberly Schmidt practices at 496 Smithtown Byp Ste 200, Smithtown, NY 11787. The listed phone number is (631) 361-5300.

What is Kimberly Schmidt's specialty?

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

Is Kimberly Schmidt enrolled in Medicare?

Yes. Kimberly Schmidt 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.

When was this NPI record last updated?

The NPPES record for Kimberly Schmidt was last updated on October 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.