MRS. MEGHAN LYNN SMITH (PA) – Surgical Physician Assistant, NPI 1174617773

MRS. MEGHAN LYNN SMITH (PA) is a healthcare provider. based in Murray, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 264922-3102 (UT). The NPI Number for MRS. MEGHAN LYNN SMITH (PA) is 1174617773

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MEGHAN LYNN SMITH (PA)
NPI
1174617773
Phone
(801) 713-1010
Address
5323 SOUTH WOODROW ST.
Enumeration Date
3 October 2006
Last Update Date
4 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2006 (20 years ago)
PAC ID
5890794465
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20061208000010
Address ID
UT841075701MU5121XSTXX400
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

1,971 PHYSICIAN ASSISTANT in UT

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Provider Addresses for MRS. MEGHAN LYNN SMITH (PA)

  • South Woodrow Street, Murray, Salt Lake County, Utah, 84107, United States

    SUTIE #102

    MURRAY, UT 84107

    Phone: (801) 713-1010

    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)

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: 2006-12-08

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
I20061208000010IPhysician AssistantUTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84107)

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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: 1850209420View full group profile

Reviews

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Frequently asked questions

What is MRS. MEGHAN LYNN SMITH (PA)'s NPI number?
MRS. MEGHAN LYNN SMITH (PA)'s NPI is 1174617773 — the number used across U.S. healthcare to identify this provider.
Is MRS. MEGHAN LYNN SMITH (PA) shown as active in public data?
Registry records indicate MRS. MEGHAN LYNN SMITH (PA) maintains an active NPI.
What area of care is associated with MRS. MEGHAN LYNN SMITH (PA)?
MRS. MEGHAN LYNN SMITH (PA)'s record emphasizes Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MRS. MEGHAN LYNN SMITH (PA) located near Murray?
MRS. MEGHAN LYNN SMITH (PA) currently maps to Murray, Utah in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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