JENNIFER W. SMITH (PA-C) – Medical Physician Assistant, NPI 1124421995

JENNIFER W. SMITH (PA-C) is a healthcare provider. based in Syracuse, New York. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 018095 (NY). The NPI Number for JENNIFER W. SMITH (PA-C) is 1124421995

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER W. SMITH (PA-C)
NPI
1124421995
Phone
(315) 464-4851
Address
750 E ADAMS ST
Enumeration Date
7 October 2014
Last Update Date
6 December 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
7012239130
Group Practice PAC ID
5496714313
Professional Enrollment ID
I20240718004099
Address ID
VT054781726SA133XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:11State licenses:1Digital endpointsOther names

13,360 PHYSICIAN ASSISTANT in NY

Provider Addresses for JENNIFER W. SMITH (PA-C)

  • 750 E ADAMS ST

    SYRACUSE, NY 132102306

    Phone: (315) 464-4851

    Type: Location

  • 550 E GENESEE ST

    SYRACUSE, NY 132022158

    Phone: (315) 464-4851

    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: 2024-07-18

PECOS data refreshed: 2026-06-15

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
I20141201000364IPhysician AssistantNYTBD
I20240718004099IPhysician AssistantVTTBD

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 minutes15784$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1414$0
99239Hospital discharge day management, more than 30 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 13210)

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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: 5496714313View full group profile
NameSpecialtyState
U R O L O G YVT
-VT
-VT
Emergency MedicineNY
-VT
Emergency MedicineVT
Orthopedic SurgeryPA
Emergency MedicineVT
Internal MedicineIL
Cardiovascular Disease (Cardiology)VT

Reviews

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Frequently asked questions

What unique ID ties claims to JENNIFER W. SMITH (PA-C)?
NPI 1124421995 is assigned to JENNIFER W. SMITH (PA-C) under the national enumeration system.
Is JENNIFER W. SMITH (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is JENNIFER W. SMITH (PA-C)?
The page reflects Medical Physician Assistant for JENNIFER W. SMITH (PA-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for JENNIFER W. SMITH (PA-C)?
The page summarizes Syracuse, New York for JENNIFER W. SMITH (PA-C); expand the address list for detail.
Is JENNIFER W. SMITH (PA-C) a real provider?
This page reflects official NPPES data for NPI 1124421995. Always confirm identity and privileges with the practice and licensing boards.

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