Active NPI
Nathan Bryan Smith, PA C
- Physician Assistant
- Hood River, OR
National Provider Identifier
1154309326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA01365
- Practice address
- 917 11TH St
Hood River, OR 97031-1578 - Phone
- (541) 386-2517
- Fax
- (541) 386-1919
- NPI assigned
- Jan 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA01365 | OR | Primary |
| Physician Assistant | 363A00000X | PA10004600 | WA |
Addresses
Primary practice location
917 11TH St
Hood River, OR 97031-1578
Mailing address
917 11TH St
Hood River, OR 97031-1578
Phone (541) 386-2517
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0208529 | Other | WA | LDI |
| 8941241 | Other | LDI | |
| 8379174 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
123 C Ave
Lake Oswego, OR 97034-2353
Phone (541) 316-6575
1825 E 19TH St
The Dalles, OR 97058-3365
Phone (541) 316-6575
917 11TH St
Hood River, OR 97031-1578
Phone (541) 386-2517
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 481 | ND | MD | Registered Dietitian |
| PA10004600 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hood River Dermatology, Inc | Current | Accepting new patients |
Locations
917 11th St
Hood River, OR 97031
Phone (541) 386-2517
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.
-
- Procedural Dermatology Physician
- Hood River, OR
- NPI 1962683839
-
- Dermatology Physician
- The Dalles, OR
- NPI 1891327185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1154309326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 11TH ST",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970311578",
"telephone_number": "541-386-2517",
"fax_number": "541-386-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 11TH ST",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970311578",
"telephone_number": "541-386-2517",
"fax_number": "541-386-1919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "NATHAN",
"middle_name": "BRYAN",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA01365",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10004600",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LDI",
"identifier": "0208529",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LDI",
"identifier": "8941241",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8379174",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hood River, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.