Stacy P Smith, C-PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9101489 Issued in FL

Practice address

1040 37TH PL Ste 201
Vero Beach, FL 32960

Phone

(772) 492-7051

Fax

(772) 492-7048

NPI assigned

Aug 30, 2005

Last updated

May 30, 2018By 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 FL

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Vero Beach Neurology and Research Institute LLCGroup PAC ID 2365722030, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Visiting Nurse Association of Indian River County Inc Home health agency, Vero Beach, FL, CCN 107134
• Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105
• Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
• Orlando Health Sebastian River Hospital Hospital, Sebastian, FL, CCN 100217
• Willowbrooke Court at Indian River Estates Nursing home, Vero Beach, FL, CCN 105593

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Vero Beach Neurology and Research Institute LLC

  • Neurology Physician
  • Vero Beach, FL
  • NPI 1013367556
  Medicare reassignment Care Compare group
• Vero Orthopaedics II PA

  • Orthopaedic Surgery Physician
  • Sebastian, FL
  • NPI 1134441660
  NPD (past)

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

• Acts Retirement-Life Communities Inc

  dba Indian River Estates East

  • Skilled Nursing Facility
  • Vero Beach, FL
  • NPI 1174563951

  Nursing home

  Care Compare affiliation
• Indian River Memorial Hospital Inc

  dba Cleveland Clinic Indian River Hospital

  • General Acute Care Hospital
  • Vero Beach, FL
  • NPI 1376512988
  Care Compare affiliation
• Martin Memorial Medical Center Inc

  dba Cleveland Clinic Martin North, South, Tradition Hospitals

  • General Acute Care Hospital
  • Stuart, FL
  • NPI 1194790055
  Care Compare affiliation
• Ohsrh, LLC

  dba Orlando Health Sebastian River Hospital

  • General Acute Care Hospital
  • Sebastian, FL
  • NPI 1578381307
  Care Compare affiliation
• Visiting Nurse Association of Indian River County, Inc.

  • Home Health Agency
  • Vero Beach, FL
  • NPI 1306843768
  Care Compare affiliation

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1316930886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 37TH PL STE 201",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604818",
            "telephone_number": "772-492-7051",
            "fax_number": "772-492-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 37TH PL STE 201",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32960",
            "telephone_number": "772-492-7051",
            "fax_number": "772-492-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STACY",
        "middle_name": "P",
        "credential": "C-PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9101489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kris Edward Smith, O.D.
• Lori Smith, PHARMD
• Mariah Smith
• Michele Diane Smith, M.A. LMHC
• Nicole Smith, APRN, FNP-BC
• William Franklin Smith Jr., NBC-HIS
• Michelle Smykowski, OTR/L
• Molly M Snell, PHD
• Nicholas George Snyder, DC, DIBCN
• Sobe Wellness Inc

• Medical Physician Assistant in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.