KATHRYN NICOLE SMILEY PA-C
NPI 1780158733
Physician Assistant in San Diego, CA

Active since January 13, 2019PECOS EnrolledAccepts Medicare Assignment
3030 CHILDRENS WAY, SAN DIEGO, CA 92123(858) 966-6795 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2022, Jan 5, 2022, Jul 6, 2019 and 1 more (4 updates tracked since 2019).

About Kathryn Nicole Smiley Pa-c NPPES

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

KATHRYN NICOLE SMILEY PA-C (NPI 1780158733) is an individual physician assistant in San Diego, California, licensed in California (PA59476) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in La Jolla, and is a graduate of George Washington University School Of Medicine (2019).

NPPES Registry Identity

NPI1780158733
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHRYN NICOLE SMILEYCredential: PA-C
Location Address3030 CHILDRENS WAYSan Diego, CA 92123-4232
Mailing Address3020 Childrens Way # Mc5003San Diego, CA 92123-4223 · (858) 309-6300
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2019
Enumeration DateJanuary 13, 2019
Last NPPES UpdateApril 11, 20224 updates tracked since enumeration
NPPES CertifiedApril 11, 2022
NPI 1780158733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in CA · PA59476 Licensed in VA · 0110006742
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.
3030 CHILDRENS WAY, San Diego, CA 92123

Secondary Practice Location 1

Location 19850 Genesee Ave Ste 320LA Jolla, CA 92037-1208 · Phone (858) 554-1212 · Fax (858) 795-1195

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

Kathryn Nicole Smiley 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 ID9830428457
PECOS Enrollment IDI20211103002984
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 92123 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

Allergy & Immunology
3030 CHILDRENS WAY
SAN DIEGO, CA 92123
Orthopaedic Surgery
3030 CHILDRENS WAY
SAN DIEGO, CA 92123
Orthopaedic Surgery
3030 CHILDRENS WAY, SUITE 410
SAN DIEGO, CA 92123
Ophthalmology
3030 CHILDRENS WAY, SUITE 109
SAN DIEGO, CA 92123
Pediatrics (Pediatric Gastroenterology)
3030 CHILDRENS WAY
SAN DIEGO, CA 92123
Pediatrics
3030 CHILDRENS WAY, SUITE 213
SAN DIEGO, CA 92123
Orthopaedic Surgery
3030 CHILDRENS WAY, SUITE 410
SAN DIEGO, CA 92123
Nurse Practitioner (Pediatrics)
3030 CHILDRENS WAY, STE 410
SAN DIEGO, CA 92123

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 Kathryn Smiley's NPI number?

The NPI number for Kathryn Smiley is 1780158733. It was assigned to this individual provider in the NPPES registry on January 13, 2019.

Where is Kathryn Smiley located?

Kathryn Smiley practices at 3030 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-6795.

What is Kathryn Smiley's specialty?

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

Is Kathryn Smiley enrolled in Medicare?

Yes. Kathryn Smiley 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 Kathryn Smiley was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.