Krista Marie Smith, PA-C
Individual provider Active NPI Medical Physician Assistant · Voorhees, NJ
NPI 1982268355 · NPPES record last updated Oct 20, 2020
Key facts
- NPI
- 1982268355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- Practice address
- 100 Bowman Dr Lowr Level1
Voorhees, NJ 08043-9612 - Phone
- (856) 247-3000
- Fax
- (856) 247-2597
- NPI assigned
- Apr 30, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Virtua Medical Group, PA
Practice addresses (Care Compare)
3242 Route 206
Bordentown, NJ 08505-4517
90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 247-7260
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.15 of 100
- Quality
- 62.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.89
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190905003034 | NJ | Practitioner - Physician Assistant | 6507195237 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Current |
Accepting new patients | |
| Virtua Medical Group, PA | Current |
Accepting new patients | |
| Virtua Medical Group, PA | Past | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
301 Lippincott Dr
Ste 120
Marlton, NJ 08053
Phone (856) 355-0333
301 Lippincott Dr
Ste 410
Marlton, NJ 08053
90 Brick Rd
Fl 3
Marlton, NJ 08053
Phone (856) 247-2160
175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660
100 Bowman Dr
Lowr
Voorhees, NJ 08043
Phone (856) 247-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Yes |
Addresses
Primary practice location
100 Bowman Dr Lowr Level1
Voorhees, NJ 08043-9612
Mailing address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340
Other practice location 1
90 Brick Rd Fl 3
Marlton, NJ 08053-2177
Phone (856) 355-6000
Other practice location 2
175 Madison Ave
Mount Holly, NJ 08060-2099
Phone (609) 914-6000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ksmith100861@directvirtua.org | ||
| Direct Messaging Address | ksmith100861@directvirtua.org | ||
| Direct Messaging Address | ksmith100861@directvirtua.org |
Other providers in Voorhees, NJ
- Jennifer A Slota
- Nicholas Smart
- Briana Smith-Gibbs
- Julia Nadine Smith
- Kindra Renee Smith
- Rachel Dubrow Smith
- Randall W Snyder III
- Janine M Sobel
- Toby K. Soble
- Society Transport, LLC.
All providers in Voorhees, NJ · Medical Physician Assistant in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.