NPIMap

Individual provider Active NPI

Rebecca Smith, PA-C

  • Physician Assistant
  • Port Saint Lucie, FL
National Provider Identifier
1780015552
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9107542 Issued in FL
Practice address
2266 SW Best St
Port Saint Lucie, FL 34984-4307
Phone
(772) 807-4430
NPI assigned
Dec 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2013

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 9107542 FL Primary

Addresses

Primary practice location

2266 SW Best St
Port Saint Lucie, FL 34984-4307

Mailing address

2266 SW Best St
Port Saint Lucie, FL 34984-4307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20140225001733 FL Practitioner - Physician Assistant 3072743798 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hma-Solantic Joint Venture LLCGroup PAC ID 6002955788, 8 clinicians
Solantic/South Florida LLCGroup PAC ID 5496762171, 27 clinicians

Practice addresses (Care Compare)

1820 58TH Ave
Suite 110
Vero Beach, FL 32966-4675
Phone (772) 257-3200

784 E Prima Vista Blvd
Port St Lucie, FL 34952-2271
Phone (772) 878-7311

9035 Pines Blvd
Pembroke Pines, FL 33024-6440
Phone (954) 378-0333

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
Quality
80.2
Promoting interoperability
99.24
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9107542FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Centers of Brevard County LLC Physician Assistant CurrentSince Aug 1, 2021 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Physician Assistant CurrentSince Aug 1, 2021 Accepting new patients
Adventist Health System/Sunbelt, Inc. Physician Assistant CurrentSince Aug 1, 2021 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Urgent Care Centers of Brevard County LLC Physician Assistant CurrentSince Aug 1, 2021 Accepting new patients
MH Health Care Services, PC Past Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

105 S Banana River Blvd
Cocoa Beach, FL 32931
Phone (321) 783-3362

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rsmith2496274@direct.ccf.org

Organizations & group practices 11

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": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1780015552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2266 SW BEST ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349844307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 SW BEST ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349844307",
            "telephone_number": "772-807-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "REBECCA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-04",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9107542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.