LEATHA MICHELLE SMITH PA
NPI 1750713798
Physician Assistant in Lake Charles, LA

Active since August 01, 2013PECOS Enrolled
1717 OAK PARK BLVD FL 3, LAKE CHARLES, LA 70601(337) 494-4900(337) 494-4936 Get Directions Write a Review

NPPES record last updated: August 5, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Leatha Michelle Smith Pa NPPES

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

LEATHA MICHELLE SMITH PA (NPI 1750713798) is an individual physician assistant in Lake Charles, Louisiana, licensed in Louisiana (PA200643) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750713798
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLEATHA MICHELLE SMITHCredential: PA
Location Address1717 OAK PARK BLVD FL 3Lake Charles, LA 70601-8990
Mailing Address1717 Oak Park Blvd Fl 3Lake Charles, LA 70601-8990 · (337) 494-4900 · Fax (337) 494-4936
Fax(337) 494-4936
Sole ProprietorNo
Enumeration DateAugust 1, 2013
Last NPPES UpdateAugust 5, 2013
NPI 1750713798 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 LA · PA200643
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.

1717 OAK PARK BLVD FL 3, Lake Charles, LA 70601

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Leatha Michelle Smith Pa 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 70601 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

Nurse Practitioner (Adult Health)
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601
Nurse Practitioner (Family)
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601
Family Medicine (Adult Medicine)
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601
Nurse Practitioner
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601
Nurse Practitioner (Adult Health)
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601
Nurse Practitioner (Family)
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601
Non-Pharmacy Dispensing Site
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750713798, enumerated as an "individual" on August 01, 2013.

The provider is located at 1717 OAK PARK BLVD FL 3 LAKE CHARLES, LA 70601 and the phone number is (337) 494-4900.

Physician Assistant with taxonomy code 363A00000X.