HOLLY L SMITH (P.A.) – Physician Assistant, NPI 1942214085

HOLLY L SMITH (P.A.) is a healthcare provider. based in Sylvania, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 50002077 (OH). The NPI Number for HOLLY L SMITH (P.A.) is 1942214085

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
HOLLY L SMITH (P.A.)
NPI
1942214085
Phone
(567) 585-0005
Address
5700 MONROE ST UNIT 111
Enumeration Date
27 July 2006
Last Update Date
3 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5675850225
Graduation Year
2003 (23 years ago)
PAC ID
4789572876
Group Practice PAC ID
2365348190
Professional Enrollment ID
I20040309001362
Address ID
OH436061547TO3430XRDXX301

Contacts

Secure Messaging
hsmith13249@epicdirect.promedica.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

5,036 PHYSICIAN ASSISTANT in OH

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Provider Addresses for HOLLY L SMITH (P.A.)

  • Monroe Street, Franklin Park, Sylvania, Lucas County, Ohio, 43560, United States

    SYLVANIA, OH 435602779

    Phone: (567) 585-0005

    Fax: (567) 585-0007

    Type: Location

  • 1 SEAGATE STE 800

    TOLEDO, OH 436041558

    Phone: (567) 585-0005

    Fax: (567) 585-0007

    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: 2004-03-09

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
I20040309001362IPhysician AssistantOHTBD

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 minutes4848$0
99213Established patient office or other outpatient visit, 20-29 minutes4443$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)3332$0
99203New patient office or other outpatient visit, 30-44 minutes2424$0
81003Automated urinalysis test1615$0
View full utilization report →

Insurance plans in this area (ZIP 43560)

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Provider's Procedures

HOLLY L SMITH (P.A.) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTOH27447Repair of knee joint1818

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: 2365348190View full group profile

Reviews

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Frequently asked questions

How do payers reference HOLLY L SMITH (P.A.)?
For HOLLY L SMITH (P.A.), use NPI 1942214085 as the unique 10-digit identifier.
Active or inactive — what applies to HOLLY L SMITH (P.A.)?
You should see HOLLY L SMITH (P.A.) as active in CMS-hosted NPPES data.
What area of care is associated with HOLLY L SMITH (P.A.)?
HOLLY L SMITH (P.A.)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Ohio is HOLLY L SMITH (P.A.) registered?
Use Sylvania, Ohio as the headline location for HOLLY L SMITH (P.A.) here.
Can I trust this NPI listing for HOLLY L SMITH (P.A.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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