MS. NICOLE K SMITH (PA-C) – Medical Physician Assistant, NPI 1003986878

MS. NICOLE K SMITH (PA-C) is a healthcare provider. based in Gettysburg, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA050968 (PA). The NPI Number for MS. NICOLE K SMITH (PA-C) is 1003986878

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MS. NICOLE K SMITH (PA-C)
NPI
1003986878
Phone
(717) 339-2710
Address
40 V TWIN DR
Enumeration Date
9 November 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7173392710
Graduation Year
2002 (24 years ago)
PAC ID
9436311008
Group Practice PAC ID
1951213115
Professional Enrollment ID
I20120426000271
Address ID
PA173257875GE40XXXDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

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Provider Addresses for MS. NICOLE K SMITH (PA-C)

  • WellSpan Adams Health Center, 40, V Twin Drive, Gettysburg, Adams County, Pennsylvania, 17325, United States

    STE 202

    GETTYSBURG, PA 173251926

    Phone: (717) 339-2710

    Fax: (717) 339-2711

    Type: Location

  • 3421, Concord Road, Spring Plains, Springettsbury Township, York County, Pennsylvania, 17402, United States

    YORK, PA 174029001

    Phone: (717) 339-2710

    Fax: (717) 339-2711

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Abbott Laboratories ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$21
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: 2012-04-26

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
I20120426000271IPhysician AssistantPATBD

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 minutes439135$0
View full utilization report →

Insurance plans in this area (ZIP 17325)

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Provider's Procedures

MS. NICOLE K SMITH (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTPA90792Psychiatric diagnostic evaluation with medical services5353

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: 1951213115View full group profile
NameSpecialtyState
Physician AssistantPA
Radiation OncologyPA
Hospitalist, Internal MedicinePA
Obstetrics/Gynecology, Family PracticePA
Family PracticePA
Physician AssistantPA
O B S T E T R I C S/ G Y N E C O L O G YPA
O B S T E T R I C S/ G Y N E C O L O G YPA
Certified Registered Nurse Anesthetist (Crna)PA
Nurse PractitionerPA

Reviews

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Frequently asked questions

What is the 10-digit NPI for MS. NICOLE K SMITH (PA-C)?
MS. NICOLE K SMITH (PA-C) — NPI 1003986878 — is the standard way to identify this listing.
Does the file indicate MS. NICOLE K SMITH (PA-C) is practicing under active NPI?
Directory data currently reports MS. NICOLE K SMITH (PA-C) as active.
What healthcare role does MS. NICOLE K SMITH (PA-C) hold?
Scheduling teams often label MS. NICOLE K SMITH (PA-C) under Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MS. NICOLE K SMITH (PA-C) list a practice location?
Patients near Gettysburg, Pennsylvania may find MS. NICOLE K SMITH (PA-C) 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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