MARYANN MARIE SMITH – Physician Assistant, NPI 1801363494
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for MARYANN MARIE SMITH
8225 Lake St
Bear Lake, MI 49614
Phone: (231) 864-3314
Type: Location
Crystal Lake Health Center Benzonia Clinic, 6227, Frankfort Highway, Benzonia, Crystal Lake Township, Benzie County, Michigan, 49616, United States
BENZONIA, MI 496168632
Phone: (312) 882-9661
Type: Mailing
Crystal Lake Health Center Bear Lake Clinic, 8225, Lake Street, Bear Lake, Bear Lake Township, Manistee County, Michigan, 49614, United States
BEAR LAKE, MI 49614
Phone: (231) 864-3314
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $74.
Total Amount is formed as General ($74) + Research ($0) + Ownership ($0) = $74.
Last reported payment date: 2024-04-10 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($61).
Total Amount
$74
General + Research + Ownership
Payments
2
Total payment records
General Amount
$74
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hologic Sales and Service, LLC | $61 |
| Boston Scientific Corporation | $13 |
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: 2019-02-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190221002444 | I | Physician Assistant | MI | TBD |
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.
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 49614)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| Family Practice | MI | |
| Internal Medicine | MI | |
| Physician Assistant | MI | |
| - | MI | |
| - | MI | |
| - | MI |
Reviews
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