Individual provider Active NPI

Andrea Dawn Smith, MD

  • Dermatology Physician
  • Poulsbo, WA
National Provider Identifier
1801064969
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD60650348 Issued in WA
Practice address
21800 Marketplace NW Ste 103
Poulsbo, WA 98370-6667
Phone
(360) 291-5700
Fax
(360) 637-0863
NPI assigned
Feb 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD60650348 WA Primary
Dermatopathology Physician 207ND0900X MD60650348 WA
MOHS-Micrographic Surgery Physician 207ND0101X MD60650348 WA
Procedural Dermatology Physician 207NS0135X MD60650348 WA

Addresses

Primary practice location

21800 Marketplace NW Ste 103
Poulsbo, WA 98370-6667

Mailing address

21800 Marketplace NW Ste 103
Poulsbo, WA 98370-6667
Phone (360) 291-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20170428000393 WA Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 9234280058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Loma Linda University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

21800 Market PL NW
Suite 103
Poulsbo, WA 98370-6667
Phone (360) 291-5700

Merit-based Incentive Payment System (MIPS)

Final score
92.44 of 100Reported as group
Quality
93.64
Improvement activities
40
Cost
83.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision99
Removal of skin lesions187
Removal of skin cancer471
Removal or shaving of skin growth1-10
Skin biopsy178

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Smithcare: General Dermatology, Mohs Surgery & Aesthetics PLLC Dermatology CurrentSince Oct 11, 2021 Accepting new patients

Locations

21800 Market Pl NW
Ste 103
Poulsbo, WA 98370
Phone (360) 291-5700

Interoperability endpoints

  • Direct secure messaging: asmith11252@direct.llu.edu

Organizations & group practices 1

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": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1801064969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21800 MARKETPLACE NW STE 103",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706667",
            "telephone_number": "360-291-5700",
            "fax_number": "360-637-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21800 MARKETPLACE NW STE 103",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706667",
            "telephone_number": "360-291-5700",
            "fax_number": "360-637-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANDREA",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-12",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD60650348",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "WA",
            "license": "MD60650348",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WA",
            "license": "MD60650348",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "WA",
            "license": "MD60650348",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

Verify at the official NPI Registry.