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

Heather Smith

Individual provider Physician Assistant · NPI 1992038236

Heather Smith is a Physician Assistant in Crystal, Minnesota. Qualified in 2009, 17 years ago. Practices with Twin Ports Dermatology Inc, an 8-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
17
Licensed in
MN
In the registry since
2009

Practice location Address checks out

4725 36th Ave N
Crystal, MN 55422-2169
Phone: (763) 231-8700
Fax: (763) 231-8711
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1332 (MN)

Record details

NPI number1992038236
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 17, 2009
Last updated in NPPESDecember 14, 2011
Mailing address4725 36th Ave N, Crystal, MN 55422-2169

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Twin Ports Dermatology Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Crystal