Stephanie L Smiley, PHYSICIAN ASST C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601004700 Issued in MI

Practice address

37399 Garfield Rd
Ste 104
Clinton TWP, MI 48036-3672

Phone

(586) 286-5400

Fax

(586) 576-6264

NPI assigned

Jan 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Stephanie L Wrass Former name

Medicare fee-for-service enrollment

Enrolled in MI

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri-County Gastroenterology, PCGroup PAC ID 2466491253, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ssmiley241477@direct.hfhs.org

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.

• Tri-County Gastroenterology, PC

  • Gastroenterology Physician
  • Clinton Township, MI
  • NPI 1285695932
  Medicare reassignment Care Compare group
• Trillium Anesthesia Services, PLLC

  • Anesthesiology Physician
  • Clinton Township, MI
  • NPI 1417522848
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1316918659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37399 GARFIELD RD",
            "address_2": "STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480363672",
            "telephone_number": "586-569-3379",
            "fax_number": "586-576-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37399 GARFIELD RD",
            "address_2": "STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480363672",
            "telephone_number": "586-286-5400",
            "fax_number": "586-576-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMILEY",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "PHYSICIAN ASST C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "WRASS",
            "middle_name": "L",
            "credential": "PHYSICIAN ASST C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Bonnie Slater, CCHW
• Najoi Sleiman, PT
• Heather Sloney
• Stanley Bruce Smart, PH.D.
• Smile Street Dental, PLLC
• Ashly Smith-Haggen
• Alexandra Rae Smith, RN
• Annastacia Smith
• Sharon Lynn Smith, R.N.
• Shasta Latisha Smith

• Physician Assistant in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.