MS. MELISSA ANN SMOOT PAC MPAS NPI 1215902549

NPI Information

  • NPI: 1215902549
  • Provider Name: MS. MELISSA ANN SMOOT, PAC, MPAS
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2401 W MAIN ST
    MARION, IL
    ZIP 62959
  • Phone: (618) 997-5311

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NPI Details

MS. Melissa Ann Smoot, PAC, MPAS is a medical physician assistant in Marion, IL. MS. Melissa Ann Smoot, PAC, MPAS NPI is 1215902549. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2401 W MAIN ST
MARION, IL
ZIP 62959-188
Phone: (618) 997-5311

The NPI 1215902549 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/21/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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