Individual provider Active NPI

Sherine Smith, PA-C

  • Physician Assistant
  • Saint George, UT
National Provider Identifier
1164634523
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
359939-1206 Issued in UT
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180122002718 UT Practitioner - Physician Assistant 6608135553 Reassigns benefits to 1 organization

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
St George Eye Center LLCGroup PAC ID 9234445065, 8 clinicians

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 Hospital, St George, UT, CCN 460021

Merit-based Incentive Payment System (MIPS)

Final score
88.22 of 100Reported as group
Quality
90.13
Improvement activities
40
Cost
73.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
359939-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.