Individual provider Active NPI

Meagan Kristine Smith

  • Family Medicine Physician
  • Olympia, WA
National Provider Identifier
1649520313
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OL60967744 Issued in WA
Practice address
525 Lilly Rd NE
Olympia, WA 98506-5101
Phone
(360) 493-7230
NPI assigned
Sep 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO208276 OR
Family Medicine Physician 207Q00000X OL60967744 WA Primary

Addresses

Primary practice location

525 Lilly Rd NE
Olympia, WA 98506-5101

Mailing address

525 Lilly Rd NE
Olympia, WA 98506-5101
Phone (360) 493-7230

Other practice location 1

675 N 5th St
Lebanon, OR 97355-2875
Phone (541) 451-6282

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address msmith310685@samhealth.direct-ci.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220801000829 OR Practitioner - Family Practice 7113334277 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Western Un of HLTH Sciences, Col of Podiatric Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Valley Healthcare IncGroup PAC ID 2769391523, 143 clinicians

Practice addresses (Care Compare)

325 Park St
Lebanon, OR 97355-4229
Phone (541) 451-7200

675 N 5TH St
Suite 200
Lebanon, OR 97355-2875
Phone (541) 451-6282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DO208276ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Healthcare Resources, LLC CurrentSince Aug 29, 2022 Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Nov 12, 2024 Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Nov 12, 2024 Accepting new patients
Mid-Valley Healthcare Inc Current Accepting new patients

Locations

4135 Quest Dr
Eugene, OR 97402
Phone (541) 461-8006

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

675 N 5th St
Lebanon, OR 97355
Phone (541) 451-6282

2000 N 19th St
Springfield, OR 97477
Phone (541) 284-1694

Organizations & group practices 4

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": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1649520313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065101",
            "telephone_number": "360-493-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065101",
            "telephone_number": "360-493-7230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 N 5th St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973552875",
            "country_code": "US",
            "telephone_number": "541-451-6282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MEAGAN",
        "middle_name": "KRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO208276",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OL60967744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msmith310685@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "675 N 5th St",
            "city": "Lebanon",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973552875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.