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

Individual provider Physician Assistant · NPI 1073396388

Kasidy Smith, PA-C is a Physician Assistant in Riverhead, New York. Qualified in 2023, 3 years ago. Practices with Peconic Bay Primary Medical Care, a 72-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
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

1 Heroes Way
Riverhead, NY 11901-2058
Phone: (631) 538-8860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1073396388
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 18, 2023
Last updated in NPPESAugust 18, 2023
Certification dateAugust 18, 2023
Mailing addressPo Box 506, Wainscott, NY 11975-0506

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Peconic Bay Primary Medical Care — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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