Active NPI
Kristi Ann Smith, PA
- Medical Physician Assistant
- Battle Creek, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 5601004160
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Promed
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
- Three Rivers Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601004160 | MI | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group Promed | Current | Accepting new patients | |
| Promed Healthcare | Current | Accepting new patients | |
| Ascension Borgess Lee Hospital | Current | 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.
-
- Hospitalist Physician
- Dowagiac, MI
- NPI 1467315499
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1720009954
-
- Rural Health Clinic/Center
- Plainwell, MI
- NPI 1487708830
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Three Rivers, MI
- NPI 1568739423
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.