Sheri Smith, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

32 W 1St S
Rexburg, ID 83440-1810

Phone

(208) 356-8883

NPI assigned

Jul 10, 2022

Last updated

Jul 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Upper Valley Family Practice, PLLCGroup PAC ID 1759433675, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Homestead Home Health & Hospice, LLC Home health agency, Rexburg, ID, CCN 137129
• Madison Memorial Hospital Hospital, Rexburg, ID, CCN 130025

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Upper Valley Family Practice, PLLC

  • Family Medicine Physician
  • Rexburg, ID
  • NPI 1922237874
  Medicare reassignment Care Compare group
• Precision Medical Care LLC

  • Family Medicine Physician
  • Idaho Falls, ID
  • NPI 1780266288
  Medicare reassignment

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

• Homestead Home Health & Hospice LLC

  • Home Health Agency
  • Rexburg, ID
  • NPI 1619351442
  Care Compare affiliation
• Madison Co Memorial Hospital

  dba Seasons Medical By Madison Memorial

  • Obstetrics & Gynecology Physician
  • Rexburg, ID
  • NPI 1073154266

  Hospital

  Care Compare affiliation
• Madison Co Memorial Hospital

  • General Acute Care Hospital
  • Rexburg, ID
  • NPI 1992747570
  Care Compare affiliation

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

{
    "created_epoch": "1657411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657411200000",
    "number": "1952035610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 977",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401039",
            "telephone_number": "208-270-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 W 1ST S",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401810",
            "telephone_number": "208-356-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHERI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-10",
        "last_updated": "2022-07-10",
        "certification_date": "2022-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas 'J' Smith, DDS
• Katrina Smith, MOT
• Kayla Emily Smith, NONE
• Monica Smith, IBCLC
• Rosemary M Smith, LMSW
• Thomas Dean Snarr, DDS
• Emilee Soderquist
• Matthew Joseph Sommer, MD
• Kaleb M Sorensen
• South Fork Services, LLC

• Physician Assistant in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2022; 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.

Verify at the official NPI Registry.