Individual provider Active NPI

Rachel Dean Smetanka, PH.D. MPAS PA-C

  • Physician Assistant
  • Dillon, MT
National Provider Identifier
1336579168
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TLP-016 Issued in ID
Practice address
600 Mt Highway 91 S
Dillon, MT 59725-7379
Phone
(406) 683-3000
NPI assigned
Nov 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TLP-016 ID Primary

Addresses

Primary practice location

600 Mt Highway 91 S
Dillon, MT 59725-7379

Mailing address

1120 Cahina Way
Pocatello, ID 83204-4654
Phone (435) 990-1272

Other practice location 1

777 Hospital Way
Pocatello, ID 83201-5175
Phone (208) 239-1801

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RSMETANKA928212@WM.PROVIDENCEDIRECT.ORG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, MO, MT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140129000466 ID Practitioner - Physician Assistant 8820227531 Reassigns benefits to 1 organization
I20170822002583 MO Practitioner - Physician Assistant 8820227531 Reassigns benefits to 1 organization
I20181116001803 MT Practitioner - Physician Assistant 8820227531 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Iowa, RJ & L Carver College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pocatello Health Services LLCGroup PAC ID 6608927637, 171 clinicians

Practice addresses (Care Compare)

30 Mt Hwy 91 S
Dillon, MT 59725-3535
Phone (406) 683-1188

600 Mt Hwy 91 S
Dillon, MT 59725-7379
Phone (406) 683-3000

777 Hospital Way
Pocatello, ID 83201-5175

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
TLP-016IDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pocatello Health Services, LLC CurrentSince Jun 16, 2014 Accepting new patients
Barrett Hospital Development Corporation CurrentSince Aug 22, 2018 Accepting new patients
Barrett Hospital Development Corporation CurrentSince Aug 22, 2018 Accepting new patients
Pocatello Hospital LLC Current Accepting new patients

Locations

777 Hospital Way
Pocatello, ID 83201
Phone (208) 239-1000

777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640

777 Hospital Way
Ste 201
Pocatello, ID 83201
Phone (208) 239-2260

600 MT Highway 91 S
Dillon, MT 59725
Phone (406) 683-3001

30 MT Highway 91 S
Dillon, MT 59725
Phone (406) 414-5070

Interoperability endpoints

  • Direct secure messaging: rsmetanka928212@wm.providencedirect.org

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1336579168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 CAHINA WAY",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832044654",
            "telephone_number": "435-990-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MT HIGHWAY 91 S",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597257379",
            "telephone_number": "406-683-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Hospital Way",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832015175",
            "country_code": "US",
            "telephone_number": "208-239-1801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMETANKA",
        "first_name": "RACHEL",
        "middle_name": "DEAN",
        "credential": "PH.D. MPAS PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "TLP-016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RSMETANKA928212@WM.PROVIDENCEDIRECT.ORG",
            "affiliation": "N",
            "address_1": "600 Mt Highway 91 S",
            "city": "Dillon",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597257379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dillon, MT

Sources for this page

Verify at the official NPI Registry.