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

Molly Beadle Smith, PA-C

Individual provider Surgical Physician Assistant · NPI 1073006672

Molly Beadle Smith, PA-C is a Physician Assistant in St Louis Park, Minnesota. Qualified in 2018, 8 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Minnesota.

Years since qualifying
8
Licensed in
IL, MN
In the registry since
2018
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

5400 Excelsior Blvd Ste 150
St Louis Park, MN 55416-2913
Phone: (952) 993-1000
Fax: (952) 993-1160
Show map & directions

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

Additional practice locations (2)

  • 14050 Fairview Dr Fl 2, Burnsville, MN 55337-5713 — (952) 993-6500
  • 9555 Upland Ln N, Maple Grove, MN 55369-4485 — (952) 993-1440

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 14341 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 085008251 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 14341 (MN)

Record details

NPI number1073006672
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 8, 2018
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in St Louis Park