Active NPI
Kristen M Smoker, PA-C
- Physician Assistant
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C04262
- Practice address
- 610 Solarex CT
Frederick, MD 21703-8624 - Phone
- (301) 682-5500
- Fax
- (301) 663-8557
- NPI assigned
- Jul 1, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C04262 | MD | Primary |
Addresses
Primary practice location
610 Solarex CT
Frederick, MD 21703-8624
Mailing address
610 Solarex CT
Frederick, MD 21703-8624
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 926580505 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
110 Baughmans LN
Suite 140
Frederick, MD 21702-4649
Phone (240) 215-1138
610 Solarex CT
Frederick, MD 21703-8624
Phone (301) 682-5500
Hospital & facility affiliations
- Frederick Health Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C04262 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Menocal Medical Services PA | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Care Center LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Nova Physician Wellness Center PLLC | Past | Accepting new patients |
Locations
133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140
301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041
610 Solarex Ct
Frederick, MD 21703
Phone (301) 663-6162
610 Solarex Ct
#2
Frederick, MD 21703
110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138
11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810
950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- kristen.smoker.1@8042.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Frederick, MD
- NPI 1083795918
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1730664012
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Family Medicine Physician
- Fairfax, VA
- NPI 1215307400
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470096000000",
"number": "1811208127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 SOLAREX CT",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217038624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 SOLAREX CT",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217038624",
"telephone_number": "301-682-5500",
"fax_number": "301-663-8557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMOKER",
"first_name": "KRISTEN",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-01",
"last_updated": "2016-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C04262",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "926580505",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.