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

Marley Nicole Smith, PA-C

Individual provider Physician Assistant · NPI 1164271763

Marley Nicole Smith, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2025, 1 year ago. Practices with Mayo Clinic Arizona, a 1,616-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2024
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

5777 E Mayo Blvd
Phoenix, AZ 85054-4502
Phone: (480) 342-2000
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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 11219 (AZ)

Record details

NPI number1164271763
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 15, 2024
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mayo Clinic Arizona — 1616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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