Kellie A Smith, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA063643 Issued in PA

Practice address

1400 Pennsylvania Ave
Tyrone, PA 16686-1728

Phone

(814) 684-2100

NPI assigned

Jun 14, 2022

Last updated

Mar 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Upmc Altoona Regional Health Services, Inc.Group PAC ID 5395659312, 191 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Penn Highlands Tyrone Hospital, Tyrone, PA, CCN 391307
• Upmc Altoona Hospital, Altoona, PA, CCN 390073

Merit-based Incentive Payment System (MIPS)

Final score

79.88 of 100Reported as group

Quality

62.63

Promoting interoperability

100

Improvement activities

40

Cost

70.3

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kellie.wilson@upmcdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Upmc Altoona Regional Health Services, Inc

  dba Blair Medical Associates

  • Family Medicine Physician
  • Altoona, PA
  • NPI 1396724217
  Medicare reassignment Care Compare group NPD

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

• Tyrone Hospital

  dba Penn Highlands Tyrone

  • Critical Access Hospital
  • Tyrone, PA
  • NPI 1659472447
  Care Compare affiliation
• Upmc Altoona

  • Ambulatory Surgical Clinic/Center
  • Altoona, PA
  • NPI 1114926953

  Hospital

  Care Compare affiliation
• Upmc Altoona

  dba Women's Health and Wellness

  • Non-Surgical Family Planning Clinic/Center
  • Altoona, PA
  • NPI 1457303885

  Hospital

  Care Compare affiliation
• Upmc Altoona

  • General Acute Care Hospital
  • Altoona, PA
  • NPI 1649278730
  Care Compare affiliation
• Upmc Altoona

  • Psychiatric Hospital Unit
  • Altoona, PA
  • NPI 1699773465
  Care Compare affiliation

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1265162093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PENNSYLVANIA AVE",
            "city": "TYRONE",
            "state": "PA",
            "postal_code": "166861728",
            "telephone_number": "814-684-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PENNSYLVANIA AVE",
            "city": "TYRONE",
            "state": "PA",
            "postal_code": "166861728",
            "telephone_number": "814-684-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELLIE",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA063643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Richard Shelow
• Timothy Stephen Skarada, PT
• Robert James Sloss, DMD
• Angela Sloter, MA LBS BCBA
• Crystal Lynn Smith
• SMZ Ventures Inc
• Anupamaa Srivastava-Sinha, MD
• Kenneth James Stockley
• Christi Stringer, B.A.
• Gabrielle L Sweeney

• Physician Assistant in Tyrone, PA
• Providers in Tyrone, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.

Verify at the official NPI Registry.