YVONNE M. SMITH (PA) – Physician Assistant, NPI 1831175926

YVONNE M. SMITH (PA) is a healthcare provider. based in Sacramento, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 0014453 (CA). The NPI Number for YVONNE M. SMITH (PA) is 1831175926

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
YVONNE M. SMITH (PA)
NPI
1831175926
Phone
(916) 734-7985
Address
4150 V ST
Enumeration Date
20 December 2005
Last Update Date
3 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2094762000
Graduation Year
1997 (29 years ago)
PAC ID
5193704427
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20040719001150
Address ID
CA952103377ST7373XLANE300
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

10,686 PHYSICIAN ASSISTANT in CA

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Provider Addresses for YVONNE M. SMITH (PA)

  • 4150, V Street, Sacramento, Sacramento County, California, 95817, United States

    PSSB-SUITE 1200, MED: ANESTHESIA

    SACRAMENTO, CA 958171460

    Phone: (916) 734-7985

    Fax: (916) 734-2975

    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: 2004-07-19

PECOS data refreshed: 2026-06-15

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
I20040719001150IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95817)

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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: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
-MA
Emergency MedicineCA
-CA
Internal MedicineNY

Reviews

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Frequently asked questions

How do payers reference YVONNE M. SMITH (PA)?
For YVONNE M. SMITH (PA), use NPI 1831175926 as the unique 10-digit identifier.
Is there an active status for YVONNE M. SMITH (PA)?
For scheduling context, YVONNE M. SMITH (PA) is shown as active in the registry.
What clinical focus is listed for YVONNE M. SMITH (PA)?
At a glance, YVONNE M. SMITH (PA) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with YVONNE M. SMITH (PA)?
Directory geography for YVONNE M. SMITH (PA) centers on Sacramento, California.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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