NPIMap

Individual provider Active NPI

Kati Jeannine Smith, PA-C

  • Physician Assistant
  • State College, PA
National Provider Identifier
1538314794
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA053601 Issued in PA
Practice address
164 Greenview Dr Ste 200
State College, PA 16803-2106
Phone
(814) 237-4321
Fax
(814) 235-0484
NPI assigned
Dec 1, 2008
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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 MA053601 PA Primary

Addresses

Primary practice location

164 Greenview Dr Ste 200
State College, PA 16803-2106

Mailing address

155 Wellness Way
State College, PA 16803-6702
Phone (814) 231-7000

Other practice location 1

310 Electric Ave
Lewistown, PA 17044-1369
Phone (717) 242-8124

Other practice location 2

1227 Warm Springs Ave
Huntingdon, PA 16652-2300
Phone (814) 643-8485

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ksmith85880@direct.geisinger.edu Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090114000492 PA Practitioner - Physician Assistant 6305909599 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

129 Medical Park LN
Bellefonte, PA 16823-9112
Phone (814) 355-3626

141 Medical Park LN
Bellefonte, PA 16823-9112
Phone (814) 355-7322

143 Hospital Dr
State College, PA 16803-5500
Phone (814) 237-3470

155 Wellness Way
State College, PA 16803-6702

164 Greenview Dr
State College, PA 16803-2106
Phone (844) 278-4600

205 Hampton Ave
Punxsutawney, PA 15767-2133
Phone (814) 938-0148

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA053601PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Physician Assistant CurrentSince Apr 1, 2016 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Physician Assistant CurrentSince Dec 15, 2008 Accepting new patients
Family Health Associates of Lewistown CurrentSince Jul 28, 2020 Accepting new patients
Geisinger Clinic CurrentSince Apr 1, 2016 Accepting new patients
Gary a Raymond, DPM PC Physician Assistant CurrentSince Feb 27, 2025 Accepting new patients
Gary a Raymond, DPM, PC CurrentSince Feb 27, 2025 Accepting new patients
Mount Nittany Medical Center Health Services Inc PastSince Aug 17, 2025 Accepting new patients

Locations

711 Logan Blvd
Altoona, PA 16602

100 N Academy Ave
Danville, PA 17822

27 Sandy Ln
Ste 140
Lewistown, PA 17044
Phone (717) 242-2711

400 Highland Ave
Lewistown, PA 17044
Phone (717) 242-7473

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

Interoperability endpoints

  • Direct secure messaging: ksmith85880@direct.geisinger.edu
  • Direct secure messaging: paksmith@hfcc.medentdirect.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1538314794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 WELLNESS WAY",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036702",
            "telephone_number": "814-231-7000",
            "fax_number": "814-231-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 GREENVIEW DR STE 200",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032106",
            "telephone_number": "814-237-4321",
            "fax_number": "814-235-0484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Electric Ave",
            "address_purpose": "LOCATION",
            "city": "Lewistown",
            "state": "PA",
            "postal_code": "170441369",
            "country_code": "US",
            "telephone_number": "717-242-8124",
            "fax_number": "717-242-8125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1227 Warm Springs Ave",
            "address_purpose": "LOCATION",
            "city": "Huntingdon",
            "state": "PA",
            "postal_code": "166522300",
            "country_code": "US",
            "telephone_number": "814-643-8485",
            "fax_number": "814-643-8755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATI",
        "middle_name": "JEANNINE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksmith85880@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "310 Electric Ave",
            "city": "Lewistown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170441369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.