MRS. EMILY J SMITH (PA) – Physician Assistant, NPI 1891990610

MRS. EMILY J SMITH (PA) is a healthcare provider. based in Prairie du sac, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 2161 (WI). The NPI Number for MRS. EMILY J SMITH (PA) is 1891990610

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MRS. EMILY J SMITH (PA)
NPI
1891990610
Phone
(920) 728-2711
Address
W14080 W POINT DR
Enumeration Date
20 June 2007
Last Update Date
29 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6085246487
Graduation Year
2007 (19 years ago)
PAC ID
3274634787
Group Practice PAC ID
9830008259
Professional Enrollment ID
I20070727000794
Address ID
WI539591049RE2000XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:18State licenses:1Digital endpointsOther names

3,678 PHYSICIAN ASSISTANT in WI

Provider Addresses for MRS. EMILY J SMITH (PA)

  • W14080 W POINT DR

    PRAIRIE DU SAC, WI 535789564

    Phone: (920) 728-2711

    Type: Mailing

  • 80, 1st Street, Downtown, Village of Prairie du Sac, Sauk County, Wisconsin, 53578, United States

    PRAIRIE DU SAC, WI 535781550

    Phone: (608) 643-3311

    Fax: (608) 643-7151

    Type: Mailing

  • 7974 UW HEALTH CT

    MIDDLETON, WI 535625531

    Phone:

    Type: Mailing

  • 2601 W BELTLINE HWY STE 200

    MADISON, WI 537132319

    Phone: (608) 287-2434

    Fax: (608) 287-2182

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $169.

Total Amount is formed as General ($169) + Research ($0) + Ownership ($0) = $169.

Last reported payment date: 2024-02-29 • Largest payer in this snapshot: Abbott Laboratories ($149).

Total Amount

$169

General + Research + Ownership

Payments

4

Total payment records

General Amount

$169

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-29

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: 2007-07-27

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
I20070727000794IPhysician AssistantWITBD

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
99215Established patient office or other outpatient visit, 40-54 minutes338295$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing4644$0
99214Established patient office or other outpatient visit, 30-39 minutes4141$0
99213Established patient office or other outpatient visit, 20-29 minutes2525$0
36415Insertion of needle into vein for collection of blood sample1514$0
View full utilization report →

Insurance plans in this area (ZIP 53578)

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Provider's Procedures

MRS. EMILY J SMITH (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTWI93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report2827

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: 9830008259View full group profile
NameSpecialtyState
Nurse PractitionerWI
Orthopedic SurgeryWI
Nurse PractitionerWI
Nurse PractitionerWI
Family PracticeWI
O P H T H A L M O L O G YWI
General SurgeryWI
Family PracticeWI
Physician AssistantWI
Nurse PractitionerKS

Reviews

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Frequently asked questions

What is the registry number for MRS. EMILY J SMITH (PA)?
The registry entry for MRS. EMILY J SMITH (PA) shows NPI 1891990610.
Is MRS. EMILY J SMITH (PA) currently accepting referrals based on NPI status?
Registry metadata lists MRS. EMILY J SMITH (PA) as active.
What type of care does MRS. EMILY J SMITH (PA) provide?
MRS. EMILY J SMITH (PA)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MRS. EMILY J SMITH (PA) tied to Prairie Du Sac, Wisconsin?
If you are local to Prairie Du Sac, Wisconsin, MRS. EMILY J SMITH (PA) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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