KYLIE MARIE SMITH PA-C
NPI 1871195966
Physician Assistant in Harrisburg, PA

Q: What is Kylie Smith's NPI number?

The NPI number for Kylie Smith is 1871195966. It was assigned to this individual provider in the NPPES registry on November 12, 2020. The provider is also known as Kylie Boruta Pa-C.

Q: What is Kylie Smith's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kylie Smith was last updated on October 20, 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.

Active since November 12, 2020PECOS Enrolled

111 S FRONT ST, HARRISBURG, PA 17101(717) 782-5223 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 26, 2024, Nov 12, 2020 (2 updates tracked since 2020).

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About Kylie Marie Smith Pa-c NPPES

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

KYLIE MARIE SMITH PA-C (NPI 1871195966) is an individual physician assistant in Harrisburg, Pennsylvania, licensed in Pennsylvania (MA051545) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hershey.

NPPES Registry Identity

NPI1871195966

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKYLIE MARIE SMITHCredential: PA-C

Location Address111 S FRONT STHarrisburg, PA 17101-2010

Mailing Address111 S Front StHarrisburg, PA 17101-2010 · (717) 782-5223

Phone(717) 782-5223

Sole ProprietorNo

Enumeration DateNovember 12, 2020

Last NPPES UpdateOctober 20, 20252 updates tracked since enumeration

NPPES CertifiedOctober 20, 2025

✔ NPI 1871195966 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 PA · MA051545✔ Licensed in PA · OA005334

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.

111 S FRONT ST, Harrisburg, PA 17101

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Other Names 1

Former Name (1)Kylie Boruta Pa-c

Secondary Practice Location 1

Location 134 Northeast DrHershey, PA 17033-2732 · Phone (717) 920-9312

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kylie Marie Smith 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17101 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

JOSEPH ELI BENAKNIN D.O.

Emergency Medicine