Individual provider Active NPI

Ashley Nicole Smith, PA

  • Physician Assistant
  • Palmer, AK
National Provider Identifier
1548969413
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
208393 Issued in AK
Practice address
2250 S Woodworth Loop Ste 101
Palmer, AK 99645-7457
Phone
(907) 745-7546
Fax
(907) 745-7540
NPI assigned
Feb 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 208393 AK Primary
Physician Assistant 363A00000X

Addresses

Primary practice location

2250 S Woodworth Loop Ste 101
Palmer, AK 99645-7457

Mailing address

2250 S Woodworth Loop Ste 101
Palmer, AK 99645-7457
Phone (907) 745-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230515001051 TX Practitioner - Physician Assistant 9032575279 Reassigns benefits to 2 organizations
I20251013000414 AK Practitioner - Physician Assistant 9032575279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Baylor College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southcentral FoundationGroup PAC ID 5496663627, 168 clinicians
Mat-Su Dermatology, LLCGroup PAC ID 9234632860, 3 clinicians

Practice addresses (Care Compare)

1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083

2250 S Woodworth Loop
Suite 101
Palmer, AK 99645-7457
Phone (907) 745-7546

Merit-based Incentive Payment System (MIPS)

Final score
91.77 of 100Reported as group
Quality
76.11
Promoting interoperability
100
Improvement activities
40
Cost
79.79

Merit-based Incentive Payment System (MIPS)

Final score
90.93 of 100Reported as group
Quality
70.1
Promoting interoperability
100
Improvement activities
40
Cost
83.01

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southcentral Foundation CurrentSince May 1, 2023 Accepting new patients
Southcentral Foundation CurrentSince May 1, 2023 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince May 1, 2023 Accepting new patients
Mat-Su Dermatology, LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

7033 E Tudor Rd
Anchorage, AK 99507
Phone (907) 729-0000

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

400 W Benson Blvd
Anchorage, AK 99503
Phone (907) 729-4200

4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000

2250 S Woodworth Loop
Ste 101
Palmer, AK 99645
Phone (907) 745-7546

2250 S Woodworth Loop
Ste 100
Palmer, AK 99645
Phone (907) 707-1333

1001 S Knik Goose Bay Rd
Wasilla, AK 99654
Phone (907) 631-7800

Interoperability endpoints

  • Direct secure messaging: asmith@direct.scf.cc

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.

NPI Registry JSON

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1548969413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 S WOODWORTH LOOP STE 101",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996457457",
            "telephone_number": "907-745-7546",
            "fax_number": "907-745-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 S WOODWORTH LOOP STE 101",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996457457",
            "telephone_number": "907-745-7546",
            "fax_number": "907-745-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "208393",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

Verify at the official NPI Registry.