Jessica Smith, PA-C
Physician Assistant in Chelsea, MI. Individual provider (NPI-1).
NPI number1114397353
StatusActive
Last updated in NPPESOct 10, 2024
Details
- NPI
- 1114397353
- Entity type
- Individual (NPI-1)
- Name
- Jessica Smith
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2015
- Certification date
- Oct 10, 2024
- Last updated
- Oct 10, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601011813 | MI | Yes |
| 363AS0400X | Physician Assistant, Surgical | 085.005597 | IL |
Practice location
775 S Main StChelsea, MI 48118-1383
Phone 734-593-6000
Mailing address
3621 S State StAnn Arbor, MI 48108-1633
Phone 734-647-5299
Other practice locations
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All 31 Physician Assistant providers in Chelsea · All 631 providers in Chelsea
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