NPIMap

Individual provider Active NPI

Evelyn Renee Smith, M.D.

  • Specialist
  • San Luis Obispo, CA
National Provider Identifier
1194762070
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G77320 Issued in CA
Practice address
842 California Blvd
San Luis Obispo, CA 93401-2902
Phone
(805) 542-9678
Fax
(805) 542-9685
NPI assigned
Jun 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD223766 OR
Specialist 174400000X G77320 CA Primary

Addresses

Primary practice location

842 California Blvd
San Luis Obispo, CA 93401-2902

Mailing address

842 California Blvd
San Luis Obispo, CA 93401-2902
Phone (805) 542-9678

Other practice location 1

3043 NE 28th St
Lincoln City, OR 97367-4518
Phone (541) 994-3661

Other identifiers 4

IdentifierTypeStateIssuer
616024300OtherUTACS/US DEPT LABOR
FL915ZOtherCAMEDICARE PTAN
56-2593593OtherCACIGNA HEALTHCARE
000067751OtherUTMEDICARE GROUP PTAN

Other names 1

  • Renee S Lauritzen Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address esmith319999@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050127000876 CA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 1951351808 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Utah School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians
Samaritan North Lincoln HospitalGroup PAC ID 7911816301, shared by 5 NPIs, 42 clinicians

Practice addresses (Care Compare)

100 Mission Blvd
Jackson, CA 95642-2536

200 Mission Blvd
Jackson, CA 95642-2564
Phone (916) 733-3777

2800 L St
Sacramento, CA 95816-5616

2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 454-6600

3043 NE 28TH St
Lincoln City, OR 97367-4518
Phone (541) 994-3661

815 Court St
Jackson, CA 95642-2154

825 NW Hwy 101
Lincoln City, OR 97367-3241
Phone (541) 996-7840

Hospital & facility affiliations

  • Sutter Amador Hospital Hospital, Jackson, CA, CCN 050014
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
  • Samaritan North Lincoln Hospital Hospital, Lincoln City, OR, CCN 381302

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
64.37
Promoting interoperability
100
Improvement activities
40
Cost
72.88

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G77320CAMDSpecialist
MD223766ORMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners CurrentSince Feb 7, 2023 Accepting new patients
First Choice Physician Partners CurrentSince Feb 7, 2023 Accepting new patients
First Choice Physician Partners Current Accepting new patients
Sutter Valley Medical Foundation Orthopaedic Surgery CurrentSince Jan 1, 2025 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
First Choice Physician Partners Past Accepting new patients

Locations

1154 E Grand Ave
Arroyo Grande, CA 93420
Phone (805) 395-3277

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

2725 Capitol Ave
Dept 302
Sacramento, CA 95816
Phone (916) 262-9440

1064 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 316-3733

Interoperability endpoints

  • Direct secure messaging: esmith568885@hisp.ehr.sutterhealth.org
  • Direct secure messaging: evelynrenee.smith.p5@direct.kmsm.nextgenshare.com

Organizations & group practices 9

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 10

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1194762070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 CALIFORNIA BLVD",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012902",
            "telephone_number": "805-542-9678",
            "fax_number": "805-547-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 CALIFORNIA BLVD",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012902",
            "telephone_number": "805-542-9678",
            "fax_number": "805-542-9685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3043 NE 28th St",
            "address_purpose": "LOCATION",
            "city": "Lincoln City",
            "state": "OR",
            "postal_code": "973674518",
            "country_code": "US",
            "telephone_number": "541-994-3661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EVELYN",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD223766",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G77320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS/US DEPT LABOR",
            "identifier": "616024300",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FL915Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "56-2593593",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "000067751",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "esmith319999@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "3043 NE 28th St",
            "city": "Lincoln City",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973674518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "LAURITZEN",
            "middle_name": "S",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.