JOANNA P. SMITH (PA-C) – Physician Assistant, NPI 1053697565

JOANNA P. SMITH (PA-C) is a healthcare provider. based in Jefferson city, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2011033714 (MO). The NPI Number for JOANNA P. SMITH (PA-C) is 1053697565

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
JOANNA P. SMITH (PA-C)
NPI
1053697565
Phone
(573) 681-3759
Address
2505 MISSION DR
Enumeration Date
27 October 2011
Last Update Date
18 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5736813759
Graduation Year
1997 (29 years ago)
PAC ID
3870760002
Group Practice PAC ID
8921917352
Professional Enrollment ID
I20120111000616
Address ID
MO651099508JE2505XDRXX303
Telehealth
Yes

Contacts

Secure Messaging
jsmith91796@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

1,853 PHYSICIAN ASSISTANT in MO

Provider Addresses for JOANNA P. SMITH (PA-C)

  • 2505 MISSION DR

    SUITE 200

    JEFFERSON CITY, MO 651099508

    Phone: (573) 681-3759

    Fax: (573) 681-3659

    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)

CMS reports 27 Open Payments records for all available years, with a total value of $799.

Total Amount is formed as General ($799) + Research ($0) + Ownership ($0) = $799.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: GENZYME CORPORATION ($198).

Total Amount

$799

General + Research + Ownership

Payments

27

Total payment records

General Amount

$799

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2012-01-11

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
I20120111000616IPhysician AssistantMOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes362215$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg29842$0
99213Established patient office or other outpatient visit, 20-29 minutes8068$0
20552Injection of trigger points, 1-2 muscles3522$0
99204New patient office or other outpatient visit, 45-59 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 65109)

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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: 8921917352View full group profile
NameSpecialtyState
-MO
Nurse PractitionerMO
Nurse PractitionerMO
-MO
Physician AssistantMO
Physician AssistantMO
Nurse PractitionerMO
P S Y C H I A T R YKS
Cardiovascular Disease (Cardiology), Internal MedicineAR
N E P H R O L O G YMO

Reviews

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Frequently asked questions

Can I cross-check JOANNA P. SMITH (PA-C) using NPI 1053697565?
NPI 1053697565 belongs to JOANNA P. SMITH (PA-C); compare other details if you need extra assurance.
Is JOANNA P. SMITH (PA-C) shown as active in public data?
Registry records indicate JOANNA P. SMITH (PA-C) maintains an active NPI.
What area of care is associated with JOANNA P. SMITH (PA-C)?
JOANNA P. SMITH (PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JOANNA P. SMITH (PA-C)?
Travel planning: use Jefferson City, Missouri as the reference point for JOANNA P. SMITH (PA-C), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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