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

Individual provider Physician Assistant · NPI 1104459718

Katie Grace Smyth, PA-C is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2019, 7 years ago. Practices with Mercy Specialty Services, a 84-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2020
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

770 Kenmoor Ave SE Ste 301
Grand Rapids, MI 49546-8621
Phone: (616) 290-1876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601009773 (MI)

Record details

NPI number1104459718
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 21, 2020
Last updated in NPPESApril 11, 2026
Certification dateApril 11, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mercy Specialty Services — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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