MR. JOSHUA SMITH (PA-C) – Physician Assistant, NPI 1104122746

MR. JOSHUA SMITH (PA-C) is a healthcare provider. based in Henderson, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA1384 (NV). The NPI Number for MR. JOSHUA SMITH (PA-C) is 1104122746

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOSHUA SMITH (PA-C)
NPI
1104122746
Phone
(702) 616-9471
Address
291 N PECOS RD
Enumeration Date
30 January 2011
Last Update Date
18 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7026169471
Graduation Year
2012 (14 years ago)
PAC ID
4183878093
Group Practice PAC ID
8628125341
Professional Enrollment ID
I20130130000380
Address ID
NV890741918HE291XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

Provider Addresses for MR. JOSHUA SMITH (PA-C)

  • 291 N PECOS RD

    HENDERSON, NV 890741918

    Phone: (702) 616-9471

    Fax: (702) 616-9681

    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 36 Open Payments records for all available years, with a total value of $682.

Total Amount is formed as General ($682) + Research ($0) + Ownership ($0) = $682.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: ABBVIE INC. ($234).

Total Amount

$682

General + Research + Ownership

Payments

36

Total payment records

General Amount

$682

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

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: 2013-01-30

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
I20130130000380IPhysician AssistantNVTBD

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 minutes775260$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month710114$0
99497Advance care planning, first 30 minutes179179$0
G0442Annual alcohol misuse screening, 5 to 15 minutes167167$0
G0444Annual depression screening, 5 to 15 minutes159159$0
View full utilization report →

Insurance plans in this area (ZIP 89074)

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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: 8628125341View full group profile
NameSpecialtyState
Nurse PractitionerNV
Nurse PractitionerNV
Nurse PractitionerNV
Physician AssistantNV
-NV
Nurse PractitionerNV
-FL
-NV
Family PracticeNV

Reviews

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Frequently asked questions

What is the registry number for MR. JOSHUA SMITH (PA-C)?
The registry entry for MR. JOSHUA SMITH (PA-C) shows NPI 1104122746.
Is MR. JOSHUA SMITH (PA-C)'s NPI status active today?
Active status means MR. JOSHUA SMITH (PA-C)'s NPI record is not deactivated in the public file.
What type of care does MR. JOSHUA SMITH (PA-C) provide?
MR. JOSHUA SMITH (PA-C)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit MR. JOSHUA SMITH (PA-C) in Henderson, Nevada?
For routing, start with Henderson, Nevada for MR. JOSHUA SMITH (PA-C), then verify phone and hours locally.
Can I export MR. JOSHUA SMITH (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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