Katie Marie Smith, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2609 Issued in CO

Practice address

32214 Ellingwood TRL
Suite #210
Evergreen, CO 80439-9779

Phone

(303) 679-2020

NPI assigned

Oct 14, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mount Evans Home Health Care & Hospice Home health agency, Evergreen, CO, CCN 067063
• Centura Health-St Anthony Hospital Hospital, Lakewood, CO, CCN 060015

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Catholic Health Initiatives Colorado

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Colorado Springs, CO
  • NPI 1356783351
  Medicare reassignment Care Compare group
• Catholic Health Initiatives Colorado

  • Family Medicine Physician
  • Canon City, CO
  • NPI 1518578129
  NPD
• Catholic Health Initiatives Colorado

  • Orthopaedic Surgery Physician
  • Longmont, CO
  • NPI 1891675294
  NPD
• Catholic Health Initiatives Colorado

  • Neurological Surgery Physician
  • Lakewood, CO
  • NPI 1205846664
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Lakewood, CO
  • NPI 1104466630
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Lakewood, CO
  • NPI 1164430567
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Lakewood, CO
  • NPI 1740820273
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • Air Ambulance
  • Lakewood, CO
  • NPI 1992425854

  Hospital

  Care Compare affiliation
• Mount Evans Hospice, Inc.

  • Community Based Hospice Care Agency
  • Evergreen, CO
  • NPI 1346284965

  Home health agency

  Care Compare affiliation
• Mount Evans Hospice, Inc.

  • Home Health Agency
  • Evergreen, CO
  • NPI 1871996124
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1003068628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32214 ELLINGWOOD TRL",
            "address_2": "SUITE #210",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804399779",
            "telephone_number": "303-679-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32214 ELLINGWOOD TRL",
            "address_2": "SUITE #210",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804399779",
            "telephone_number": "303-679-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-14",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "2609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1082610",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Nicole Wyrtzen Simpson, MA, CCC-SLP
• Sara Singh, PHARM.D
• Cynthia Smith
• Danae Lynn Smith, MS, CCC-SLP
• Jodie Dean Smith, LPC-C
• Lisa Fudge Smith, LAC
• Mary Page Smith, CNM, OB-GYN NP
• Susan Diane Smith, PT, NCMT
• Ashley N. Snider
• Snowshoe Trail Enterprises, LLC

• Medical Physician Assistant in Evergreen, CO
• Providers in Evergreen, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.