ETHAN LAWRENCE SMITH
NPI 1750164752
Physician Assistant in Spokane Valley, WA

Active since August 15, 2023PECOS EnrolledAccepts Medicare Assignment
1123 N EVERGREEN RD, SPOKANE VALLEY, WA 99216(509) 363-3100(509) 363-0300 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Lawrence Smith NPPES

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

ETHAN LAWRENCE SMITH (NPI 1750164752) is an individual physician assistant in Spokane Valley, Washington, licensed in Washington (PA1750164752) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS, is affiliated with Newport Community Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1750164752
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameETHAN LAWRENCE SMITH
Location Address1123 N EVERGREEN RDSpokane Valley, WA 99216-1138
Mailing AddressPo Box 808Veradale, WA 99037-0808 · (509) 363-3100 · Fax (509) 363-0300
Fax(509) 363-0300
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 15, 2023
Last NPPES UpdateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
NPI 1750164752 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 WA · PA1750164752
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.
1123 N EVERGREEN RD, Spokane Valley, WA 99216

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Ethan Lawrence Smith 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 ID1557851466
PECOS Enrollment IDI20251108000050
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Newport Community Hospital

Critical Access Hospitals · Newport, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501310
Location714 West Pine StreetNewport, WA 99156 · Pend Oreille County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99216 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 15

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

Orthopaedic Surgery
1123 N EVERGREEN RD
SPOKANE VALLEY, WA 99216
Nurse Practitioner
1123 N EVERGREEN RD
SPOKANE VALLEY, WA 99216
Neurological Surgery
1123 N EVERGREEN RD
SPOKANE VALLEY, WA 99216
Chiropractor
1123 N EVERGREEN RD
SPOKANE VALLEY, WA 99216
Anesthesiology (Pain Medicine)
1123 N EVERGREEN RD
SPOKANE VALLEY, WA 99216
Anesthesiology (Pain Medicine)
1123 N EVERGREEN RD
SPOKANE VALLEY, WA 99216
Chiropractor
1123 N EVERGREEN RD
SPOKANE VALLEY, WA 99216
Physician Assistant
1123 N EVERGREEN RD
SPOKANE VALLEY, WA 99216

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 Ethan Smith's NPI number?

The NPI number for Ethan Smith is 1750164752. It was assigned to this individual provider in the NPPES registry on August 15, 2023.

Where is Ethan Smith located?

Ethan Smith practices at 1123 N Evergreen Rd, Spokane Valley, WA 99216. The listed phone number is (509) 363-3100.

What is Ethan Smith's specialty?

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

Is Ethan Smith enrolled in Medicare?

Yes. Ethan 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.

Is Ethan Smith affiliated with any hospitals?

According to CMS data, Ethan Smith is affiliated with Newport Community Hospital.

When was this NPI record last updated?

The NPPES record for Ethan Smith was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.