Individual provider Active NPI

Kristin A Smith, PA-C

  • Physician Assistant
  • Beaver, PA
National Provider Identifier
1285932228
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA050738 Issued in PA
Practice address
701 5TH St
Beaver, PA 15009-1964
Phone
(724) 774-5255
NPI assigned
Feb 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA050738 PA
Surgical Physician Assistant 363AS0400X MA050738 PA
Physician Assistant 363A00000X MA050738 PA Primary

Addresses

Primary practice location

701 5TH St
Beaver, PA 15009-1964

Mailing address

701 5TH St
Beaver, PA 15009-1964
Phone (724) 774-5255

Other practice location 1

900 Brooktree Rd
Suite 200
Wexford, PA 15090-9255
Phone (724) 933-1320

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040610000827 PA Practitioner - Physician Assistant 0749263705 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pittsburgh Skin PCGroup PAC ID 8527305994, 6 clinicians

Practice addresses (Care Compare)

144 Emeryville Dr
Suite 230
Cranberry Township, PA 16066-5015
Phone (412) 206-2966

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
83.84
Promoting interoperability
85
Improvement activities
40
Cost
59.85

Merit-based Incentive Payment System (MIPS)

Final score
94.07 of 100Reported as group
Quality
100
Improvement activities
40
Cost
80.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA050738PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Oct 1, 2014 Accepting new patients
University of Pittsburgh Physicians CurrentSince Oct 1, 2014 Accepting new patients
Margaret S. Lally, LLC Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

3601 5th Ave
Ste 5A
Pittsburgh, PA 15213
Phone (412) 647-4200

200 Lothrop St
#C800
Pittsburgh, PA 15213
Phone (412) 647-4700

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

Interoperability endpoints

  • Direct secure messaging: ksmith@pittsburghskin.emadirect.md
  • Direct secure messaging: kristin.smith@adcs1.emadirect.md

Organizations & group practices 7

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": "1298851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1285932228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 5TH ST",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150091964",
            "telephone_number": "724-774-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 5TH ST",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150091964",
            "telephone_number": "724-774-5255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Brooktree Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Wexford",
            "state": "PA",
            "postal_code": "150909255",
            "country_code": "US",
            "telephone_number": "724-933-1320",
            "fax_number": "724-933-1338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTIN",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-28",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA050738",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA050738",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA050738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

Verify at the official NPI Registry.