Individual provider Active NPI

Erin Wellenstein Smith, PA

  • Medical Physician Assistant
  • Utica, NY
National Provider Identifier
1992211411
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
021437-1 Issued in NY
Practice address
2211 Genesee St Ste 200
Utica, NY 13501-5930
Phone
(315) 733-7598
Fax
(315) 733-7694
NPI assigned
Dec 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 021437-1 NY Primary

Addresses

Primary practice location

2211 Genesee St Ste 200
Utica, NY 13501-5930

Mailing address

2211 Genesee St Ste 200
Utica, NY 13501-5930
Phone (315) 733-7598

Other practice location 1

201 E State St
Herkimer, NY 13350-2389
Phone (315) 574-0026

Other practice location 2

301 Genesee St
Oneida, NY 13421-2644
Phone (315) 363-4024

Other practice location 3

321 Genesee St
Oneida, NY 13421-2611
Phone (315) 363-6000

Other practice location 4

1656 Champlin Ave
Utica, NY 13502-4830
Phone (315) 624-6000

Other practice location 5

7785 N State St
Lowville, NY 13367-1229
Phone (315) 376-5200

Other practice location 6

91 Perimeter Rd
Rome, NY 13441-4018
Phone (315) 339-6420

Other practice location 7

2209 Genesee St
Utica, NY 13501-5930
Phone (315) 733-7598

Other practice location 8

1500 N James St
Rome, NY 13440-2844
Phone (315) 338-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20180124002469 NY Practitioner - Physician Assistant 4284993064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central New York Cardiology, PCGroup PAC ID 3375530769, 28 clinicians

Practice addresses (Care Compare)

321 Genesee St
Oneida, NY 13421-2611
Phone (315) 363-6000

601 State St
Suite 200
Utica, NY 13502-4208
Phone (315) 733-7598

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.87 of 100Reported as group
Quality
78.81
Promoting interoperability
92
Improvement activities
40
Cost
74.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021437-1NYMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: esmith@cnycardiology.medentdirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1992211411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 GENESEE ST STE 200",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015930",
            "telephone_number": "315-733-7598",
            "fax_number": "315-733-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 GENESEE ST STE 200",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015930",
            "telephone_number": "315-733-7598",
            "fax_number": "315-733-7694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E State St",
            "address_purpose": "LOCATION",
            "city": "Herkimer",
            "state": "NY",
            "postal_code": "133502389",
            "country_code": "US",
            "telephone_number": "315-574-0026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Genesee St",
            "address_purpose": "LOCATION",
            "city": "Oneida",
            "state": "NY",
            "postal_code": "134212644",
            "country_code": "US",
            "telephone_number": "315-363-4024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "321 Genesee St",
            "address_purpose": "LOCATION",
            "city": "Oneida",
            "state": "NY",
            "postal_code": "134212611",
            "country_code": "US",
            "telephone_number": "315-363-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1656 Champlin Ave",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135024830",
            "country_code": "US",
            "telephone_number": "315-624-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7785 N State St",
            "address_purpose": "LOCATION",
            "city": "Lowville",
            "state": "NY",
            "postal_code": "133671229",
            "country_code": "US",
            "telephone_number": "315-376-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "91 Perimeter Rd",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "NY",
            "postal_code": "134414018",
            "country_code": "US",
            "telephone_number": "315-339-6420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2209 Genesee St",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135015930",
            "country_code": "US",
            "telephone_number": "315-733-7598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 N James St",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "NY",
            "postal_code": "134402844",
            "country_code": "US",
            "telephone_number": "315-338-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLENSTEIN SMITH",
        "first_name": "ERIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "021437-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.