KRISTIN MARIE PAUL SMITH (PA) – Physician Assistant, NPI 1003207499

KRISTIN MARIE PAUL SMITH (PA) is a healthcare provider. based in St petersburg, Florida. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. PA 9108496 (FL). The NPI Number for KRISTIN MARIE PAUL SMITH (PA) is 1003207499

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN MARIE PAUL SMITH (PA)
NPI
1003207499
Phone
(651) 895-6930
Address
5939 27TH TER N
Enumeration Date
7 February 2015
Last Update Date
19 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7275210994
Graduation Year
2014 (12 years ago)
PAC ID
1052630977
Group Practice PAC ID
0648322362
Professional Enrollment ID
I20150427002304
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for KRISTIN MARIE PAUL SMITH (PA)

  • 5939 27TH TER N

    ST PETERSBURG, FL 337103307

    Phone: (651) 895-6930

    Type: Mailing

  • 3001 EXECUTIVE DR STE 130

    CLEARWATER, FL 337625323

    Phone: (727) 347-0005

    Fax: (727) 541-6558

    Type: Mailing

  • 3901 66TH ST N

    SUITE 201

    ST PETERSBURG, FL 337094949

    Phone: (727) 345-5500

    Fax: (727) 343-3716

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $913.

Total Amount is formed as General ($913) + Research ($0) + Ownership ($0) = $913.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($417).

Total Amount

$913

General + Research + Ownership

Payments

41

Total payment records

General Amount

$913

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2015-04-27

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
I20150427002304IPhysician AssistantFLTBD

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 33710)

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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: 0648322362View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL
Nurse PractitionerFL
Gastroenterology, Internal MedicineFL
Gastroenterology, Internal MedicineFL
Nurse PractitionerFL
G A S T R O E N T E R O L O G YFL
Physician AssistantFL
G A S T R O E N T E R O L O G YFL
G A S T R O E N T E R O L O G YFL
Nurse PractitionerTN

Reviews

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Frequently asked questions

Does KRISTIN MARIE PAUL SMITH (PA) have a public NPI I can cite?
Public records show KRISTIN MARIE PAUL SMITH (PA) under NPI 1003207499.
Is KRISTIN MARIE PAUL SMITH (PA) currently accepting referrals based on NPI status?
Registry metadata lists KRISTIN MARIE PAUL SMITH (PA) as active.
What services align with KRISTIN MARIE PAUL SMITH (PA)'s listing?
KRISTIN MARIE PAUL SMITH (PA)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to KRISTIN MARIE PAUL SMITH (PA)?
KRISTIN MARIE PAUL SMITH (PA) shows a connection to St Petersburg, Florida in registry-derived data.
Why is information missing for KRISTIN MARIE PAUL SMITH (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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