KATIE GRACE SMYTH (PA-C) – Physician Assistant, NPI 1104459718

KATIE GRACE SMYTH (PA-C) is a healthcare provider. based in Great falls, Montana. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601009773 (MI). The NPI Number for KATIE GRACE SMYTH (PA-C) is 1104459718

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KATIE GRACE SMYTH (PA-C)
NPI
1104459718
Phone
Not provided
Address
1401 25TH ST S
Enumeration Date
21 February 2020
Last Update Date
11 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2316723883
Graduation Year
2019 (7 years ago)
PAC ID
2264861343
Group Practice PAC ID
2365439544
Professional Enrollment ID
I20211105001583
Address ID
MI494441849MU1500XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Digital endpointsOther names

903 PHYSICIAN ASSISTANT in MT

Provider Addresses for KATIE GRACE SMYTH (PA-C)

  • 1401 25TH ST S

    GREAT FALLS, MT 594055183

    Phone:

    Type: Mailing

  • 801 5TH ST

    SIOUX CITY, IA 511011326

    Phone: (712) 279-2010

    Type: Mailing

  • 770 KENMOOR AVE SE STE 301

    GRAND RAPIDS, MI 495468621

    Phone: (616) 290-1876

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $119.

Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.

Last reported payment date: 2024-07-23 • Largest payer in this snapshot: ABBVIE INC. ($64).

Total Amount

$119

General + Research + Ownership

Payments

5

Total payment records

General Amount

$119

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-23

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: 2021-11-05

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
I20211105001583IPhysician 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2919$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 59405)

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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: 2365439544View full group profile
NameSpecialtyState
Internal Medicine, HospitalistIL
Osteopathic Manipulative Medicine, Emergency MedicineTX
Hospitalist, Internal MedicineMI
Clinical PsychologistCA
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
Internal MedicineMI
Internal MedicineMI
Osteopathic Manipulative MedicineMI

Reviews

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Frequently asked questions

Can I use this page to confirm KATIE GRACE SMYTH (PA-C)'s NPI?
Yes. KATIE GRACE SMYTH (PA-C) is listed with NPI 1104459718 in the public NPI dataset.
Does CMS list KATIE GRACE SMYTH (PA-C) as active?
Yes — KATIE GRACE SMYTH (PA-C) is active in the NPI listing used on this page.
What taxonomy line describes KATIE GRACE SMYTH (PA-C)?
For research purposes, treat KATIE GRACE SMYTH (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is KATIE GRACE SMYTH (PA-C) based?
KATIE GRACE SMYTH (PA-C) is tied to Great Falls, Montana in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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