Individual provider Active NPI

Maria Valenti Smit

  • Physician Assistant
  • Tallahassee, FL
National Provider Identifier
1821309733
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9105510 Issued in FL
Practice address
2626 Capital Medical Blvd
Tallahassee, FL 32308-4402
Phone
(850) 325-5000
NPI assigned
Jun 24, 2010
Last updated
Apr 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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 PA9105510 FL Primary

Addresses

Primary practice location

2626 Capital Medical Blvd
Tallahassee, FL 32308-4402

Mailing address

908 Chestwood Ave
Tallahassee, FL 32303-4635
Phone (239) 209-4801

Other identifiers 1

IdentifierTypeStateIssuer
002838200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20100916000854 FL Practitioner - Physician Assistant 8123143906 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Dermatology of North Florida LLCGroup PAC ID 0749619302, 4 clinicians

Practice addresses (Care Compare)

1903 Welby Way
Tallahassee, FL 32308-4453
Phone (850) 402-9444

1981 Capital Cir NE
Tallahassee, FL 32308-4421
Phone (850) 402-9444

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9105510FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Oliver Emergency Group, LLC Physician Assistant CurrentSince Jun 1, 2022 Accepting new patients
Old Fields Emergency Physicians, LLC Past Accepting new patients
Orthopedic Specialists of SW Florida, P.a. Past Accepting new patients

Locations

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1821309733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 CHESTWOOD AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323034635",
            "telephone_number": "239-209-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 CAPITAL MEDICAL BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084402",
            "telephone_number": "850-325-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMIT",
        "first_name": "MARIA",
        "middle_name": "VALENTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002838200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.