Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carly Nicole Smith, PA-C

Individual provider Medical Physician Assistant · NPI 1043645690

Carly Nicole Smith, PA-C is a Physician Assistant in Minnetonka, Minnesota. Qualified in 2013, 13 years ago. Practices with Allina Health System, a 3,867-clinician group and accepts Medicare assignment. Licensed in Illinois and Minnesota.

Years since qualifying
13
Licensed in
IL, MN
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5435 Feltl Rd
Minnetonka, MN 55343-7983
Phone: (952) 835-9880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11656 (MN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085004730 (IL)

Record details

NPI number1043645690
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 13, 2013
Last updated in NPPESJanuary 27, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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