Alysia Mota Smith, PA-C
Individual provider Active NPI Medical Physician Assistant · Buffalo, OK
NPI 1023630738 · NPPES record last updated Mar 28, 2024
Key facts
- NPI
- 1023630738
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA4487 (OK)
- Practice address
- 610 N Hoy St
Buffalo, OK 73834-8933 - Phone
- (580) 735-2555
- NPI assigned
- May 15, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- 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 Communities
Practice addresses (Care Compare)
1060 SW 4TH St
Moore, OK 73160-2494
Phone (405) 378-5491
4300 McAuley Blvd
Oklahoma City, OK 73120-8302
Phone (405) 936-5455
Hospital & facility affiliations
- Mercy Hospital Oklahoma City, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201210001752 | OK | Practitioner - Physician Assistant | 9032521372 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA4487 | OK | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rapid Radiology, Inc. | Past |
Accepting new patients |
Interoperability endpoints
- asmith384920@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | PA4487 | OK | |
| Medical Physician Assistant | 363AM0700X | PA4487 | OK | Yes |
Addresses
Primary practice location
610 N Hoy St
Buffalo, OK 73834-8933
Mailing address
PO Box 13
Buffalo, OK 73834-0013
Phone (719) 459-1285
Other practice location 1
1214 N Crestway St
Wichita, KS 67208-2809
Phone (719) 459-1285
Other practice location 2
610 N Hoy St # B
Buffalo, OK 73834-8933
Phone (580) 735-2911
Other practice location 3
703 Oklahoma Ave # 5
Laverne, OK 73848
Phone (580) 921-3355
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Buffalo | ||
| Direct Messaging Address | asmith384920@direct-ehr-ssmhc.com | Direct |
Other providers in Buffalo, OK
- Chelsey Hayes
- Kyra Deanna Hirsch
- Mary Morehart
- Neal K Suthers MD Dba Hudson-Suthers Clinic
- Nicholas Tyler Russenberger
- T & L Pharmacy Inc.
- Texoma Medical Services, Inc
- Texoma Medical Services, Inc
- Texoma Medical Services, Inc
- Western Nursing Home LLC
All providers in Buffalo, OK · Medical Physician Assistant in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.