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

MS. Kristin B Smucker, PA

Individual provider Physician Assistant · NPI 1255367074

MS. Kristin B Smucker, PA is a Physician Assistant in Bridgeport, West Virginia. Qualified in 2000, 26 years ago. Practices with Mountain State Medical Specialties PLLC, a 38-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
26
Licensed in
WV
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

120 Medical Park Dr Ste 200
Bridgeport, WV 26330-9012
Phone: (304) 624-7200
Fax: (304) 624-0026
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 00806 (WV)

Record details

NPI number1255367074
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 23, 2006
Last updated in NPPESJanuary 23, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Mountain State Medical Specialties Pllc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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