Individual provider Active NPI

James Ernest Smith, P.A.-C

  • Medical Physician Assistant
  • Winslow, AZ
National Provider Identifier
1205867116
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2653 Issued in NV
Practice address
500 Indiana Ave
Winslow, AZ 86047-2169
Phone
(928) 289-8157
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2653 NV Primary
Medical Physician Assistant 363AM0700X TP7937 AZ

Addresses

Primary practice location

500 Indiana Ave
Winslow, AZ 86047-2169

Mailing address

2450 E Joy LN
Fort Mohave, AZ 86426-6643
Phone (909) 896-1990

Other practice location 1

8970 W Tropicana Ave Ste 6
Las Vegas, NV 89147-8137
Phone (702) 473-5333

Other practice location 2

HC 63 Box 9000
Winslow, AZ 86047-9477
Phone (928) 657-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, TX2 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
I20230814000871 NV Practitioner - Physician Assistant 8426045873 Reassigns benefits to 1 organization
I20250820003249 TX Practitioner - Physician Assistant 8426045873 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
Chander PLLCGroup PAC ID 3375789498, 4 clinicians

Practice addresses (Care Compare)

500 Indiana Ave
Winslow, AZ 86047-2169

500 N Indiana Ave
Winslow, AZ 86047-2169
Phone (928) 289-4646

8970 W Tropicana Ave
Suite 6
Las Vegas, NV 89147-8137
Phone (702) 473-5333

SWC Navajo Route 15 and 60
1 Medical Center Dr
Dilkon, AZ 86047-2169
Phone (928) 289-4646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Winslow Indian Health Care Center, Inc CurrentSince Aug 6, 2025 Accepting new patients
Brian a. Bui, M.D., Inc. Past Accepting new patients
Oasis Medical Center, Inc. Medical Past Accepting new patients

Locations

500 Indiana Ave
Winslow, AZ 86047

1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1205867116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 E JOY LN",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864266643",
            "telephone_number": "909-896-1990",
            "fax_number": "928-289-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 INDIANA AVE",
            "city": "WINSLOW",
            "state": "AZ",
            "postal_code": "860472169",
            "telephone_number": "928-289-8157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8970 W Tropicana Ave Ste 6",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891478137",
            "country_code": "US",
            "telephone_number": "702-473-5333",
            "fax_number": "702-473-5444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "HC 63 Box 9000",
            "address_purpose": "LOCATION",
            "city": "Winslow",
            "state": "AZ",
            "postal_code": "860479477",
            "country_code": "US",
            "telephone_number": "928-657-1000",
            "fax_number": "928-289-8036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMES",
        "middle_name": "ERNEST",
        "name_prefix": "Mr.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "2653",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "TP7937",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winslow, AZ

Sources for this page

Verify at the official NPI Registry.