NPIMap

Individual provider Active NPI

Jeffery Smith, PA-C

  • Medical Physician Assistant
  • Vancouver, WA
National Provider Identifier
1356734966
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
60528565 Issued in WA
Practice address
400 NE Mother Joseph PL
Vancouver, WA 98664-3200
Phone
(360) 256-2000
NPI assigned
Mar 7, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 147963 MT
Medical Physician Assistant 363AM0700X 60528565 WA Primary

Addresses

Primary practice location

400 NE Mother Joseph PL
Vancouver, WA 98664-3200

Mailing address

400 NE Mother Joseph PL
Vancouver, WA 98664-3200

Other practice location 1

1675 Talbot Rd
Columbia Falls, MT 59912-4569
Phone (406) 892-3208

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Direct Logan Health - Whitefish

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150701002718 WA Practitioner - Physician Assistant 4385956473 Reassigns benefits to 2 organizations
I20250502000291 MT Practitioner - Physician Assistant 4385956473 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Logan Health - WhitefishGroup PAC ID 9335033687, shared by 6 NPIs, 48 clinicians

Practice addresses (Care Compare)

1675 Talbot Rd
Columbia Falls, MT 59912-4569
Phone (406) 892-3208

304 Osloski Rd
Eureka, MT 59917-9217
Phone (406) 297-3145

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
147963MTMDMedical Physician Assistant
60528565WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Logan Health - Whitefish CurrentSince Jun 16, 2025 Accepting new patients
Logan Health - Whitefish CurrentSince Jun 16, 2025 Accepting new patients
Logan Health - Whitefish CurrentSince Jun 16, 2025 Accepting new patients
Logan Health - Whitefish CurrentSince Jun 16, 2025 Accepting new patients
Peacehealth CurrentSince May 9, 2015 Accepting new patients
Logan Health - Whitefish Past Accepting new patients

Locations

1675 Talbot Rd
Columbia Falls, MT 59912
Phone (406) 892-1411

304 Osloski Rd
Eureka, MT 59917
Phone (406) 297-2438

310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310

1600 Hospital Way
Whitefish, MT 59937
Phone (406) 863-3500

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

Interoperability endpoints

  • Direct secure messaging: krmcmedicalrecords@krhdirect.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 8

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": "1425686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1356734966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NE MOTHER JOSEPH PL",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986643200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NE MOTHER JOSEPH PL",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986643200",
            "telephone_number": "360-256-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1675 Talbot Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia Falls",
            "state": "MT",
            "postal_code": "599124569",
            "country_code": "US",
            "telephone_number": "406-892-3208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEFFERY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-07",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "147963",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "60528565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Logan Health - Whitefish",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1675 Talbot Rd",
            "city": "Columbia Falls",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599124569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.