RYLEE RAE SMITH (PA) – Surgical Physician Assistant, NPI 1902480015

RYLEE RAE SMITH (PA) is a healthcare provider. based in Omaha, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 2619 (NE). The NPI Number for RYLEE RAE SMITH (PA) is 1902480015

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
RYLEE RAE SMITH (PA)
NPI
1902480015
Phone
(402) 390-4111
Address
8005 Farnam Dr Ste 305
Enumeration Date
6 May 2021
Last Update Date
30 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4023544000
Graduation Year
2021 (5 years ago)
PAC ID
1456750827
Group Practice PAC ID
0446228852
Professional Enrollment ID
I20210604002230
Address ID
NE681144108OM8303XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

1,397 PHYSICIAN ASSISTANT in NE

Provider Addresses for RYLEE RAE SMITH (PA)

  • 8005 Farnam Dr Ste 305

    Omaha, NE 681143426

    Phone: (402) 390-4111

    Fax: (402) 390-4115

    Type: Location

  • 8005 FARNAM DR STE 305

    OMAHA, NE 681143426

    Phone: (402) 390-4111

    Fax: (402) 390-4115

    Type: Mailing

  • 222 N 192ND ST

    ELKHORN, NE 680225363

    Phone: (402) 390-4111

    Fax: (402) 390-4115

    Type: Location

  • 2810 W 35TH ST STE 1

    KEARNEY, NE 688452909

    Phone: (308) 865-2570

    Fax: (308) 865-2508

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210604002230IPhysician AssistantNETBD
I20240531003787IPhysician AssistantIATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes10197$0
99203New patient office or other outpatient visit, 30-44 minutes7878$0
99212Established patient office or other outpatient visit, 10-19 minutes4038$0
View full utilization report →

Insurance plans in this area (ZIP 68114)

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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: 0446228852View full group profile
NameSpecialtyState
-NE
Orthopedic SurgeryNE
Nurse PractitionerIA
Physician AssistantNE
Orthopedic Surgery, Orthopedic Surgery, Hand SurgeryNE
Physician AssistantNE
-NE
Physician AssistantNE
A N E S T H E S I O L O G YNE
Physician AssistantNE

Reviews

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Frequently asked questions

Can I verify RYLEE RAE SMITH (PA) with an NPI only?
You can start verification with NPI 1902480015 for RYLEE RAE SMITH (PA), then check state licensing separately.
Is RYLEE RAE SMITH (PA) still practicing?
RYLEE RAE SMITH (PA) is currently listed as active in the public NPI registry.
What is RYLEE RAE SMITH (PA)'s primary classification?
Surgical Physician Assistant is the headline specialty for RYLEE RAE SMITH (PA) here. Clinical services aligned with this taxonomy classification.
Does RYLEE RAE SMITH (PA) list a practice location?
Patients near Omaha, Nebraska may find RYLEE RAE SMITH (PA) in results; validate coverage separately.
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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