Kelly Nicole Smith, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

222 Issued in WV

Practice address

1307 Lafayette Ave
Moundsville, WV 26041-2316

Phone

(304) 845-2500

Fax

(304) 845-2624

NPI assigned

Oct 21, 2005

Last updated

Nov 27, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wood Health Care Clinic PCGroup PAC ID 0749265353, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Reynolds Memorial Hospital, Inc Hospital, Glen Dale, WV, CCN 510013
• Wetzel County Hospital Hospital, New Martinsville, WV, CCN 510072
• Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050

Merit-based Incentive Payment System (MIPS)

Final score

67.92 of 100Reported as group

Quality

68.51

Promoting interoperability

100

Improvement activities

0

Cost

74.57

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: ksmith271367@direct.wvuhsdirect.com

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.

• Wood Health Care Clinic PC

  • Internal Medicine Physician
  • Moundsvillle, WV
  • NPI 1386711554
  Medicare reassignment Care Compare group
• Wetzel County Hospital Association

  dba Wetzel Primary Care

  • Rural Health Clinic/Center
  • New Martinsville, WV
  • NPI 1609272343
  NPD (past)
• Wetzel County Hospital Association

  dba Wetzel County Hospital Physicians

  • Internal Medicine Physician
  • New Martinsville, WV
  • NPI 1699728337
  NPD (past)

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

• Reynolds Memorial Hospital, Inc

  • General Acute Care Hospital
  • Glen Dale, WV
  • NPI 1144228305
  Care Compare affiliation
• Wetzel County Hospital, Inc.

  dba Wetzel County Hospital

  • Rural Acute Care Hospital
  • New Martinsville, WV
  • NPI 1376175240
  Care Compare affiliation
• Wheeling Hospital Inc

  • General Acute Care Hospital
  • Wheeling, WV
  • NPI 1104821305
  Care Compare affiliation

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1780673772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 LAFAYETTE AVE",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "260412316",
            "telephone_number": "304-845-2500",
            "fax_number": "304-845-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 LAFAYETTE AVE",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "260412316",
            "telephone_number": "304-845-2500",
            "fax_number": "304-845-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELLY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Brielle Smertneck
• Carey L Smith
• Chelsey M Smith
• Christine Smith
• Jaynel Smith
• Laureen Smith
• Sandie Sue Smith
• Theresa Jean Smith
• Virginia Smith, OTR/L
• Linda Pearl South

• Medical Physician Assistant in Moundsville, WV
• Providers in Moundsville, WV by specialty
• Medical Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.