Individual provider Active NPI

Kristi Ann Smith, PA

  • Medical Physician Assistant
  • Battle Creek, MI
National Provider Identifier
1346352325
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601004160 Issued in MI
Practice address
219 Singletree LN
Battle Creek, MI 49014-7519
Phone
(269) 979-5448
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601004160 MI Primary

Addresses

Primary practice location

219 Singletree LN
Battle Creek, MI 49014-7519

Mailing address

219 Singletree LN
Battle Creek, MI 49014-7519
Phone (269) 979-5448

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101120000201 MI Practitioner - Physician Assistant 0042406787 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians

Practice addresses (Care Compare)

1241 W Broadway St
Three Rivers, MI 49093-8319
Phone (269) 273-9539

1555 E Chicago Rd
Sturgis Medical Group Primary Care
Sturgis, MI 49091-1993
Phone (269) 381-3963

7901 Angling Rd
Portage, MI 49024-0714

Hospital & facility affiliations

  • Sturgis Hospital Hospital, Sturgis, MI, CCN 230779
  • Three Rivers Health Hospital, Three Rivers, MI, CCN 230015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601004160MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group Promed CurrentSince Oct 1, 2019 Accepting new patients
Promed Healthcare CurrentSince Oct 1, 2019 Accepting new patients
Ascension Borgess Lee Hospital CurrentSince Jun 1, 2022 Accepting new patients
Ascension Medical Group Promed Past Accepting new patients

Locations

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

520 Main St
Ste A
Dowagiac, MI 49047
Phone (269) 783-3052

1717 Shaffer St
Ste 002
Kalamazoo, MI 49048

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

916 Myrtle St
Sturgis, MI 49091
Phone (269) 651-7824

Organizations & group practices 5

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 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1346352325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 SINGLETREE LN",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490147519",
            "telephone_number": "269-979-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 SINGLETREE LN",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490147519",
            "telephone_number": "269-979-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTI",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601004160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.