Individual provider Active NPI

Nathan Bryan Smith, PA C

  • Physician Assistant
  • Hood River, OR
National Provider Identifier
1154309326
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01365 Issued in OR
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

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0208529OtherWALDI
8941241OtherLDI
8379174MedicaidWA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080618000081 OR Practitioner - Physician Assistant 0547254765 Reassigns benefits to 2 organizations

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
Clear Choice DermatologyGroup PAC ID 4789005034, 47 clinicians
Hood River Dermatology IncGroup PAC ID 0345366613, 7 clinicians

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 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
481NDMDRegistered Dietitian
PA10004600WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hood River Dermatology, Inc CurrentSince Feb 1, 2026 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.

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

Verify at the official NPI Registry.