NPIMap

Individual provider Active NPI

Audrey Weber, PA-C

  • Physician Assistant
  • Philip, SD
National Provider Identifier
1881218592
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
503 W Pine St
Philip, SD 57567-3300
Phone
(605) 859-2511
NPI assigned
May 29, 2020
Last updated
Jan 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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 SD Primary

Addresses

Primary practice location

503 W Pine St
Philip, SD 57567-3300

Mailing address

23205 Hill Top Dr
Philip, SD 57567-3229
Phone (605) 441-8202

Other names 1

  • Audrey Smeenk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20200717001402 SD Practitioner - Physician Assistant 2668896044 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Philip Health Services IncGroup PAC ID 7214831866, shared by 4 NPIs, 6 clinicians

Practice addresses (Care Compare)

503 W Pine St
Philip, SD 57567-3300
Phone (605) 859-2566

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1248SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Philip Health Services, Inc. CurrentSince Jul 13, 2020 Accepting new patients
Philip Health Services, Inc. Past Accepting new patients
Philip Clinic PastSince Mar 28, 2021 Accepting new patients

Locations

503 W Pine St
Philip, SD 57567
Phone (605) 859-2511

Organizations & group practices 5

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1881218592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23205 HILL TOP DR",
            "city": "PHILIP",
            "state": "SD",
            "postal_code": "575673229",
            "telephone_number": "605-441-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 W PINE ST",
            "city": "PHILIP",
            "state": "SD",
            "postal_code": "575673300",
            "telephone_number": "605-859-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "AUDREY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-29",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "SMEENK",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philip, SD

Sources for this page

Verify at the official NPI Registry.