Active NPI
Sherine Smith, PA-C
- Physician Assistant
- Saint George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 359939-1206
- Practice address
- 1054 E Riverside Dr Ste 201
Saint George, UT 84790-4829 - Phone
- (435) 628-4507
- NPI assigned
- May 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 359939-1206 | UT | Primary |
Addresses
Primary practice location
1054 E Riverside Dr Ste 201
Saint George, UT 84790-4829
Mailing address
1054 E Riverside Dr Ste 201
Saint George, UT 84790-4829
Phone (435) 628-4507
Other practice location 1
215 W 100 N
Provo, UT 84601-4433
Phone (801) 374-9660
Other practice location 2
215 W 100 N
Provo, UT 84601-4433
Phone (801) 374-9660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- 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, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
617 E Riverside Dr
Suite 101
St George, UT 84790-8720
Phone (435) 628-4507
Hospital & facility affiliations
- St. George Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.22 of 100
- Quality
- 90.13
- Improvement activities
- 40
- Cost
- 73.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 359939-1206 | UT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Vitality | Current | Accepting new patients | |
| Mountainlands Community Health Center, Inc | Past | Accepting new patients | |
| Mountainlands Community Health Center, Inc. | Past | Accepting new patients | |
| Tuttle Dermatology PC | Past | Accepting new patients |
Interoperability endpoints
- ssmith@stgec.direct.eyemdemr.com
Organizations & group practices 5
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.
-
- Ophthalmology Physician
- St George, UT
- NPI 1073996344
-
- Clinic/Center
- Washington, UT
- NPI 1972455095
-
- Federally Qualified Health Center (FQHC)
- Payson, UT
- NPI 1437364882
-
- Federally Qualified Health Center (FQHC)
- Provo, UT
- NPI 1427437144
-
- Dermatology Physician
- St George, UT
- NPI 1598261869
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1164634523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1054 E RIVERSIDE DR STE 201",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847904829",
"telephone_number": "435-628-4507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1054 E RIVERSIDE DR STE 201",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847904829",
"telephone_number": "435-628-4507"
}
],
"practiceLocations": [
{
"address_1": "215 W 100 N",
"address_purpose": "LOCATION",
"city": "Provo",
"state": "UT",
"postal_code": "846014433",
"country_code": "US",
"telephone_number": "801-374-9660",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "215 W 100 N",
"address_purpose": "LOCATION",
"city": "Provo",
"state": "UT",
"postal_code": "846014433",
"country_code": "US",
"telephone_number": "801-374-9660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "SHERINE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-05",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "359939-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.