Individual provider Active NPI

Mark A Smith, PA-C

  • Medical Physician Assistant
  • Colorado Springs, CO
National Provider Identifier
1093974552
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-3348 Issued in CO
Practice address
4323 Integrity Center PT
Colorado Springs, CO 80917-1683
Phone
(719) 591-2558
Fax
(719) 591-2596
NPI assigned
Jun 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA-3348 CO Primary

Addresses

Primary practice location

4323 Integrity Center PT
Colorado Springs, CO 80917-1683

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (970) 624-4127

Other practice location 1

11605 Meridian Market Vw Ste 184
Falcon, CO 80831-8238
Phone (719) 364-9560

Other practice location 2

2767 Janitell Rd
Colorado Springs, CO 80906-4102
Phone (719) 365-2888

Other practice location 3

13445 Voyager Pkwy
Colorado Springs, CO 80921-7648
Phone (719) 365-3220

Other practice location 4

1035 Garden Of The Gods Rd Ste 120
Colorado Springs, CO 80907-3416
Phone (719) 365-3200

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140626002199 CO Practitioner - Physician Assistant 9234354630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

1035 Garden of the Gods Rd
Colorado Springs, CO 80907-9427
Phone (719) 329-1000

1400 E Boulder
Suite 2410 Pre Procedure Memorial
Colorado Springs, CO 80909-5533
Phone (719) 365-6525

1400 E Boulder St
Colorado Springs, CO 80909-5533

4323 Integrity Ctr PT
Colorado Springs, CO 80917-1683
Phone (719) 591-2558

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-3348COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Jun 9, 2014 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

2767 Janitell Rd
Colorado Springs, CO 80906
Phone (719) 365-2888

13445 Voyager Pkwy
Colorado Springs, CO 80921
Phone (719) 219-0333

4323 Integrity Center Pt
Colorado Springs, CO 80917
Phone (719) 591-2558

8540 Scarborough Dr
Ste 100
Colorado Springs, CO 80920
Phone (719) 364-6970

1035 Garden of the Gods Rd
Ste 120
Colorado Springs, CO 80907
Phone (719) 329-1000

8155 Piney River Ave
Ste 100
Littleton, CO 80125
Phone (303) 265-3370

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

11605 Meridian Market Vw
Ste 184
Peyton, CO 80831
Phone (719) 364-9555

Interoperability endpoints

  • Direct secure messaging: mark.smith@38426141720580.direct.elationemr.com

Organizations & group practices 2

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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1093974552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071",
            "telephone_number": "970-624-4127",
            "fax_number": "970-490-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 INTEGRITY CENTER PT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809171683",
            "telephone_number": "719-591-2558",
            "fax_number": "719-591-2596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11605 Meridian Market Vw Ste 184",
            "address_purpose": "LOCATION",
            "city": "Falcon",
            "state": "CO",
            "postal_code": "808318238",
            "country_code": "US",
            "telephone_number": "719-364-9560",
            "fax_number": "719-364-7680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2767 Janitell Rd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809064102",
            "country_code": "US",
            "telephone_number": "719-365-2888",
            "fax_number": "719-365-1577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13445 Voyager Pkwy",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809217648",
            "country_code": "US",
            "telephone_number": "719-365-3220",
            "fax_number": "719-219-0230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1035 Garden Of The Gods Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809073416",
            "country_code": "US",
            "telephone_number": "719-365-3200",
            "fax_number": "719-365-7680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA-3348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.