Individual provider Active NPI

Maggie Casteel Smith, PA

  • Physician Assistant
  • Sparks, NV
National Provider Identifier
1194419945
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1441 Pullman Dr
Sparks, NV 89434-7921
Phone
(775) 432-1343
NPI assigned
Jun 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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 Primary

Addresses

Primary practice location

1441 Pullman Dr
Sparks, NV 89434-7921

Mailing address

1441 Pullman Dr
Sparks, NV 89434-7921
Phone (775) 432-1343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231123000039 VA Practitioner - Physician Assistant 6103274592 Reassigns benefits to 1 organization
I20260316000631 NV Practitioner - Physician Assistant 6103274592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Kentucky College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elizabeth a. Hutson M.D. LTDGroup PAC ID 8123107935, 8 clinicians

Practice addresses (Care Compare)

1441 Pullman Dr
Sparks, NV 89434-7921
Phone (775) 432-1343

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physicians Multispecialty Group PC CurrentSince Nov 1, 2023 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Nov 1, 2023 Accepting new patients

Locations

860 Omni Blvd
Ste 128
Newport News, VA 23606

704 Thimble Shoals Blvd
#30
Newport News, VA 23606
Phone (757) 595-4300

827 Diligence Dr
Ste 100
Newport News, VA 23606

860 Omni Blvd
Newport News, VA 23606
Phone (757) 369-8138

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

Organizations & group practices 3

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": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1194419945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 PULLMAN DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894347921",
            "telephone_number": "775-432-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 PULLMAN DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894347921",
            "telephone_number": "775-432-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTEEL SMITH",
        "first_name": "MAGGIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.