KEVIN SMITH (P.A.) – Physician Assistant, NPI 1396716460

KEVIN SMITH (P.A.) is a healthcare provider. based in Michigan city, Indiana. specializing in Physician Assistant. They hold the professional credentials P.A.. They hold a License No. 10000208A (IN). The NPI Number for KEVIN SMITH (P.A.) is 1396716460

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN SMITH (P.A.)
NPI
1396716460
Phone
(219) 861-8161
Address
1225 E COOLSPRING AVE
Enumeration Date
27 January 2006
Last Update Date
22 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1988 (38 years ago)
PAC ID
2062474984
Group Practice PAC ID
3072790682
Professional Enrollment ID
I20041102000612

Contacts

Secure Messaging
ksmith5743@Direct.FranciscanAlliance.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for KEVIN SMITH (P.A.)

  • Franciscan Physician Network Coolspring Health Center, 1225, East Coolspring Avenue, Michigan City, LaPorte County, Indiana, 46360, United States

    MICHIGAN CITY, IN 463606312

    Phone: (219) 861-8161

    Fax: (219) 873-9504

    Type: Location

  • PO BOX 781076

    DETROIT, MI 482781076

    Phone: (317) 528-4800

    Fax: (317) 865-1479

    Type: Mailing

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 46360)

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Provider's Procedures

KEVIN SMITH (P.A.) performs procedures in Physician Assistant. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTIN20610Aspiration and/or injection of large joint or joint capsule13978

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: 3072790682View full group profile

Reviews

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Frequently asked questions

What number should I use to identify KEVIN SMITH (P.A.) for billing?
Administrative and clinical systems typically use NPI 1396716460 for KEVIN SMITH (P.A.).
Is KEVIN SMITH (P.A.)'s NPI status active today?
Active status means KEVIN SMITH (P.A.)'s NPI record is not deactivated in the public file.
What type of care does KEVIN SMITH (P.A.) provide?
KEVIN SMITH (P.A.)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit KEVIN SMITH (P.A.) in Michigan City, Indiana?
For routing, start with Michigan City, Indiana for KEVIN SMITH (P.A.), then verify phone and hours locally.
Why is information missing for KEVIN SMITH (P.A.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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