ALISSA K SMOUSE (PA-C) – Physician Assistant, NPI 1437677945

ALISSA K SMOUSE (PA-C) is a healthcare provider. based in Oakdale, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 54830 (CA). The NPI Number for ALISSA K SMOUSE (PA-C) is 1437677945

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
ALISSA K SMOUSE (PA-C)
NPI
1437677945
Phone
(209) 847-3011
Address
350 S Oak Ave
Enumeration Date
5 September 2017
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5306768234
Graduation Year
2017 (9 years ago)
PAC ID
0143596098
Group Practice PAC ID
8022433085
Professional Enrollment ID
I20171020003114
Address ID
CA956829664CA4062XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for ALISSA K SMOUSE (PA-C)

  • 350 S Oak Ave

    Oakdale, CA 953613519

    Phone: (209) 847-3011

    Type: Location

  • 333 Mercy Ave

    Merced, CA 953408319

    Phone: (855) 548-7719

    Type: Location

  • Mercy Medical Center Merced, 333, Mercy Avenue, Merced, Merced County, California, 95340, United States

    MERCED, CA 953408319

    Phone: (209) 564-5130

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-05-17 • Largest payer in this snapshot: ABBVIE INC. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$19
View all Open Payments →|Open Payments Risk Radar →

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: 2017-10-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20171020003114IPhysician AssistantCATBD

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
99285Emergency department visit with high level of medical decision making248240$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only167152$0
99284Emergency department visit with moderate level of medical decision making6968$0
View full utilization report →

Insurance plans in this area (ZIP 95361)

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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: 8022433085View full group profile
NameSpecialtyState
-CA
Physician AssistantCA
Nurse PractitionerCA
Emergency MedicineCA
Nurse PractitionerCA
Physician AssistantCA
Physician AssistantCA
Osteopathic Manipulative MedicineCA
Physician AssistantCA

Reviews

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Frequently asked questions

Can I verify ALISSA K SMOUSE (PA-C) with an NPI only?
You can start verification with NPI 1437677945 for ALISSA K SMOUSE (PA-C), then check state licensing separately.
Can I rely on ALISSA K SMOUSE (PA-C) being an active provider?
As of the registry snapshot, ALISSA K SMOUSE (PA-C) is marked active.
What is ALISSA K SMOUSE (PA-C) best known for clinically?
Directory data describes ALISSA K SMOUSE (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does ALISSA K SMOUSE (PA-C) list a practice location?
Patients near Oakdale, California may find ALISSA K SMOUSE (PA-C) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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