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

Mr. Mark A Smith, PA-C

Individual provider Medical Physician Assistant · NPI 1093974552

Mr. Mark A Smith, PA-C is a Physician Assistant in Colorado Springs, Colorado. Qualified in 2007, 19 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
19
Licensed in
CO
In the registry since
2008
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

4323 Integrity Center Pt
Colorado Springs, CO 80917-1683
Phone: (719) 591-2558
Fax: (719) 591-2596
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 2767 Janitell Rd, Colorado Springs, CO 80906-4102 — (719) 365-2888
  • 1035 Garden Of The Gods Rd Ste 120, Colorado Springs, CO 80907-3416 — (719) 365-3200
  • 13445 Voyager Pkwy, Colorado Springs, CO 80921-7648 — (719) 365-3220
  • 11605 Meridian Market Vw Ste 184, Falcon, CO 80831-8238 — (719) 364-9560

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA-3348 (CO)

Record details

NPI number1093974552
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 9, 2008
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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