Alysia Mota Smith, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA4487 Issued in OK

Practice address

610 N Hoy St
Buffalo, OK 73834-8933

Phone

(580) 735-2555

NPI assigned

May 15, 2020

Last updated

Mar 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OK

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: asmith384920@direct-ehr-ssmhc.com

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

• Mercy Clinic Oklahoma Communities

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1386874550
  Medicare reassignment Care Compare group NPD
• Rapid Radiology, Inc.

  • Diagnostic Radiology Physician
  • Austin, TX
  • NPI 1619300431
  NPD (past)

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

• Mercy Hospital Oklahoma City, Inc

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1184721722
  Care Compare affiliation

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1023630738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13",
            "city": "BUFFALO",
            "state": "OK",
            "postal_code": "738340013",
            "telephone_number": "719-459-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N HOY ST",
            "city": "BUFFALO",
            "state": "OK",
            "postal_code": "738348933",
            "telephone_number": "580-735-2555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 N Hoy St # B",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "OK",
            "postal_code": "738348933",
            "country_code": "US",
            "telephone_number": "580-735-2911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1214 N Crestway St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672082809",
            "country_code": "US",
            "telephone_number": "719-459-1285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "703 Oklahoma Ave # 5",
            "address_purpose": "LOCATION",
            "city": "Laverne",
            "state": "OK",
            "postal_code": "73848",
            "country_code": "US",
            "telephone_number": "580-921-3355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALYSIA",
        "middle_name": "MOTA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "PA4487",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "PA4487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Buffalo",
            "affiliation": "N",
            "address_1": "610 N Hoy St",
            "city": "Buffalo",
            "state": "OK",
            "country_code": "US",
            "postal_code": "738348933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asmith384920@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "asmith384920@direct-ehr-ssmhc.com",
            "address_1": "610 N Hoy St # B",
            "city": "Buffalo",
            "state": "OK",
            "country_code": "US",
            "postal_code": "738348933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kyra Deanna Hirsch
• Mary Morehart
• Neal K Suthers MD Dba Hudson-Suthers Clinic
• Nicholas Tyler Russenberger, MPAS
• Aaron Scott Sizelove, D.O.
• T & L Pharmacy Inc.
• Texoma Medical Services, Inc (Western Drug #6)
• Texoma Medical Services, Inc (Western Drug #6)
• Texoma Medical Services, Inc (Western Drug #6)
• Western Nursing Home LLC (Grace Living Center - Buffalo)

• Medical Physician Assistant in Buffalo, OK
• Providers in Buffalo, OK by specialty
• Medical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.