MRS. KIMBERLY MICHAELLE SMITH MHS, PA-C
NPI 1811230493
Physician Assistant - Surgical in Sacramento, CA

Q: What is Kimberly Smith's NPI number?

The NPI number for Kimberly Smith is 1811230493. It was assigned to this individual provider in the NPPES registry on April 1, 2013.

Q: What is Kimberly Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Smith was last updated on July 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since April 01, 2013PECOS Enrolled

2315 STOCKTON BLVD RM 6312, SACRAMENTO, CA 95817(919) 368-0082 Get Directions Write a Review

NPPES record last updated: July 31, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Kimberly Michaelle Smith Mhs, Pa-c NPPES

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

MRS. KIMBERLY MICHAELLE SMITH MHS, PA-C (NPI 1811230493) is an individual surgical provider in Sacramento, California, licensed in North Carolina (101542) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811230493

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMRS. KIMBERLY MICHAELLE SMITHCredential: MHS, PA-C

Location Address2315 STOCKTON BLVD RM 6312Sacramento, CA 95817

Mailing Address2942 Weald Way Apt 2414Sacramento, CA 95833-3570 · (919) 368-0082

Phone(919) 368-0082

Sole ProprietorNo

Enumeration DateApril 1, 2013

Last NPPES UpdateJuly 31, 2018

✔ NPI 1811230493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in NC · 101542

2315 STOCKTON BLVD RM 6312, Sacramento, CA 95817

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kimberly Michaelle Smith Mhs, Pa-c 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.

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 Smith's NPI number?

The NPI number for Kimberly Smith is 1811230493. It was assigned to this individual provider in the NPPES registry on April 1, 2013.

Where is Kimberly Smith located?

Kimberly Smith practices at 2315 Stockton Blvd Rm 6312, Sacramento, CA 95817. The listed phone number is (919) 368-0082.

What is Kimberly Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kimberly Smith enrolled in Medicare?

Yes. Kimberly Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Smith was last updated on July 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.