EVAN GREGORY SMITH
NPI 1891090577
Physician Assistant - Medical in Lackland A F B, TX

Active since January 11, 2011PECOS EnrolledAccepts Medicare Assignment
2200 BERGQUIST DR, LACKLAND A F B, TX 78236(210) 292-1990 Get Directions Write a Review

NPPES record last updated: April 8, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evan Gregory Smith NPPES

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

EVAN GREGORY SMITH (NPI 1891090577) is an individual medical provider in Lackland A F B, Texas and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of University Of Nebraska College Of Medicine (2011).

NPPES Registry Identity

NPI1891090577
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameEVAN GREGORY SMITH
Location Address2200 BERGQUIST DRLackland A F B, TX 78236-9907
Mailing Address1934 Winding VwSan Antonio, TX 78260-7206
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2011
Enumeration DateJanuary 11, 2011
Last NPPES UpdateApril 8, 2013
NPI 1891090577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
2200 BERGQUIST DR, Lackland A F B, TX 78236

Accepted Insurance

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

Evan Gregory 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 ID3678867975
PECOS Enrollment IDI20160809002973
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.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

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.

Preventive Medicine (Aerospace Medicine)
2200 BERGQUIST DR, SUITE 1 (ATTN:CREDENTIALS (CMC))
LACKLAND A F B, TX 78236
Emergency Medicine
2200 BERGQUIST DR, WILFORD HALL MED CTR, STE 1,DEPT. OF EMERGENCY MEDICINE
LACKLAND A F B, TX 78236
Radiology (Diagnostic Radiology)
2200 BERGQUIST DR
LACKLAND A F B, TX 78236
Optometrist
2200 BERGQUIST DR, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
Radiology (Diagnostic Radiology)
2200 BERGQUIST DR, SUITE 1
LACKLAND A F B, TX 78236
Dentist
2200 BERGQUIST DR, SUITE 1
LACKLAND A F B, TX 78236
Preventive Medicine (Aerospace Medicine)
2200 BERGQUIST DR, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
Dentist (General Practice)
2200 BERGQUIST DR, SUITE 1
LACKLAND A F B, TX 78236

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 Evan Smith's NPI number?

The NPI number for Evan Smith is 1891090577. It was assigned to this individual provider in the NPPES registry on January 11, 2011.

Where is Evan Smith located?

Evan Smith practices at 2200 Bergquist Dr, Lackland A F B, TX 78236. The listed phone number is (210) 292-1990.

What is Evan Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Evan Smith enrolled in Medicare?

Yes. Evan 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.

What insurance does Evan Smith accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Evan Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Evan Smith affiliated with any hospitals?

According to CMS data, Evan Smith is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Evan Smith was last updated on April 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.