GABRIEL JOHN SMITH (PA-C) – Physician Assistant, NPI 1316839590

GABRIEL JOHN SMITH (PA-C) is a healthcare provider. based in Iron river, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601013267 (MI). The NPI Number for GABRIEL JOHN SMITH (PA-C) is 1316839590

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
GABRIEL JOHN SMITH (PA-C)
NPI
1316839590
Phone
(906) 265-0499
Address
814 S Ice Lake Rd
Enumeration Date
21 July 2025
Last Update Date
5 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9062656118
Graduation Year
2025 (1 year ago)
PAC ID
4385147230
Group Practice PAC ID
5294648929
Professional Enrollment ID
I20250915002630
Address ID
MI499358575IR3257X2XXX503
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for GABRIEL JOHN SMITH (PA-C)

  • 814 S Ice Lake Rd

    Iron River, MI 499359481

    Phone: (906) 265-0499

    Type: Location

  • 7513 COUNTY 527 L RD

    GLADSTONE, MI 498379109

    Phone: (906) 399-2784

    Type: Mailing

  • 1328 US HIGHWAY 2

    CRYSTAL FALLS, MI 499201045

    Phone: (906) 875-4486

    Type: Location

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: 2025-09-15

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
I20250915002630IPhysician AssistantMITBD

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 49935)

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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: 5294648929View full group profile
NameSpecialtyState
Orthopedic SurgeryMI
Emergency Medicine, Pulmonary Disease, Hospice/Palliative Care, Hospitalist, Sleep Medicine, Internal MedicineGA
Diagnostic RadiologyMI
Internal MedicineAZ
General SurgeryMI
Certified Registered Nurse Anesthetist (Crna)CO
Physician AssistantMI
Nurse PractitionerMI
Internal MedicineWI
-MI

Reviews

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Frequently asked questions

What NPI should I save for GABRIEL JOHN SMITH (PA-C)?
Save NPI 1316839590 if you need a stable reference for GABRIEL JOHN SMITH (PA-C).
Does this profile mean GABRIEL JOHN SMITH (PA-C) is currently active?
Yes — GABRIEL JOHN SMITH (PA-C) appears active in the national provider directory.
What does GABRIEL JOHN SMITH (PA-C) treat or focus on?
Patients typically see GABRIEL JOHN SMITH (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place GABRIEL JOHN SMITH (PA-C)?
The snapshot lists Iron River, Michigan for GABRIEL JOHN SMITH (PA-C); download NPPES for the complete set.
What if Iron River, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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