ASHLEY NICOLE SMITH (PA) – Physician Assistant, NPI 1548969413

ASHLEY NICOLE SMITH (PA) is a healthcare provider. based in Palmer, Alaska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 208393 (AK). The NPI Number for ASHLEY NICOLE SMITH (PA) is 1548969413

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
ASHLEY NICOLE SMITH (PA)
NPI
1548969413
Phone
(907) 745-7546
Address
2250 S WOODWORTH LOOP STE 101
Enumeration Date
28 February 2023
Last Update Date
27 January 2026

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
9077457546
Graduation Year
2022 (4 years ago)
PAC ID
9032575279
Group Practice PAC ID
9234632860
Professional Enrollment ID
I20251013000414
Address ID
AK996457457PA2250XLOOP424
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

551 PHYSICIAN ASSISTANT in AK

Provider Addresses for ASHLEY NICOLE SMITH (PA)

  • 2250 S WOODWORTH LOOP STE 101

    PALMER, AK 996457457

    Phone: (907) 745-7546

    Fax: (907) 745-7540

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230515001051IPhysician AssistantTXTBD
I20251013000414IPhysician AssistantAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes7259$0
99214Established patient office or other outpatient visit, 30-39 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 99645)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234632860View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
D E R M A T O L O G YTX

Reviews

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Frequently asked questions

What number should I use to identify ASHLEY NICOLE SMITH (PA) for billing?
Administrative and clinical systems typically use NPI 1548969413 for ASHLEY NICOLE SMITH (PA).
Does the public listing show ASHLEY NICOLE SMITH (PA) as active?
ASHLEY NICOLE SMITH (PA)'s NPI record reflects an active status in NPPES.
What type of care does ASHLEY NICOLE SMITH (PA) provide?
ASHLEY NICOLE SMITH (PA)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to ASHLEY NICOLE SMITH (PA)?
The directory associates ASHLEY NICOLE SMITH (PA) with Palmer, Alaska. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.