Individual provider Active NPI

Dynelle Smith, PA-C

  • Physician Assistant
  • Butler, PA
National Provider Identifier
1932133360
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA002862L Issued in PA
Practice address
901 E Brady St
Butler, PA 16001-4648
Phone
(724) 285-9200
NPI assigned
Jul 10, 2006
Last updated
Feb 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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 MA002862L PA Primary

Addresses

Primary practice location

901 E Brady St
Butler, PA 16001-4648

Mailing address

901 E Brady St
Butler, PA 16001-4648
Phone (724) 285-9200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dynelle.d.smith@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110826000035 PA Practitioner - Physician Assistant 6800858952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

2 Hot Meal St
Pittsburgh, PA 15203-2348

300 Halket St
Pittsburgh, PA 15213-3108

8000 Cranberry Springs Dr
Cranberry Township, PA 16066-6687

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1309NEMDPhysical Therapy Assistant
MA002862LPAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Aug 19, 2019 Accepting new patients
University of Pittsburgh Physicians CurrentSince Aug 19, 2019 Accepting new patients
Bellefonte Eergency Medical Specialists, PSC Past Accepting new patients
North Platte Nebraska Physician Group LLC Past Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients
Bayside Obstetrics Gynecology and Infertility Inc Past Accepting new patients

Locations

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000

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, 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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1932133360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E BRADY ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014648",
            "telephone_number": "724-285-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E BRADY ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014648",
            "telephone_number": "724-285-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DYNELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA002862L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dynelle.d.smith@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.