Individual provider Active NPI

Alissa K Smouse, PA-C

  • Physician Assistant
  • Merced, CA
National Provider Identifier
1437677945
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
54830 Issued in CA
Practice address
333 Mercy Ave
Merced, CA 95340-8319
Phone
(855) 548-7719
NPI assigned
Sep 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 54830 CA Primary

Addresses

Primary practice location

333 Mercy Ave
Merced, CA 95340-8319

Mailing address

333 Mercy Ave
Merced, CA 95340-8319
Phone (209) 564-5130

Other practice location 1

350 S Oak Ave
Oakdale, CA 95361-3519
Phone (209) 847-3011

Other practice location 2

350 S Oak Ave
Oakdale, CA 95361-3519
Phone (209) 847-3011

Other practice location 3

333 Mercy Ave
Merced, CA 95340-8319
Phone (855) 548-7719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20171020003114 CA Practitioner - Physician Assistant 0143596098 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vituity - Urgent Care Services PCGroup PAC ID 8022433085, 8 clinicians

Practice addresses (Care Compare)

4062 Flying C Rd
Suite 41
Cameron Park, CA 95682-9664
Phone (530) 676-8234

Hospital & facility affiliations

  • Mercy Hospital of Folsom Hospital, Folsom, CA, CCN 050414

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity - Urgent Care Services PC CurrentSince Apr 1, 2024 Accepting new patients
Cep America - California CurrentSince Aug 1, 2021 Accepting new patients

Locations

4062 Flying C Rd
Ste 41
Cameron Park, CA 95682
Phone (530) 676-8234

1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

Interoperability endpoints

  • Direct secure messaging: alissa.smouse.1@20515.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1437677945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 MERCY AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408319",
            "telephone_number": "209-564-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MERCY AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408319",
            "telephone_number": "855-548-7719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 S Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Oakdale",
            "state": "CA",
            "postal_code": "953613519",
            "country_code": "US",
            "telephone_number": "209-847-3011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 S Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Oakdale",
            "state": "CA",
            "postal_code": "953613519",
            "country_code": "US",
            "telephone_number": "209-847-3011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Mercy Ave",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953408319",
            "country_code": "US",
            "telephone_number": "855-548-7719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMOUSE",
        "first_name": "ALISSA",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.