Nicole Smith, PA
Nicole Smith, PA is a Physician Assistant in Bangor, Michigan. Qualified in 2019, 7 years ago. Practices with Bronson Lakeview Hospital, a 72-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 — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
520 Railroad StBangor, MI 49013-1490
Phone: (269) 427-5811
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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 5601009812 (MI) |
|---|
Record details
| NPI number | 1053941674 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | January 23, 2020 |
| Last updated in NPPES | November 11, 2024 |
| Certification date | November 11, 2024 |
| Mailing address | 601 John Street, Box 42, Kalamazoo, MI 49007 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Bronson Lakeview Hospital — 72 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Bangor
-
Mrs. Shirley E Sanders, PAC
555 Railroad St, Bangor, MI 49013-1464 · (269) 427-6171
-
Mrs. Rhonda L. Shinault, PA-C
520 Railroad St, Bangor, MI 49013-1490 · (269) 427-5811
-
Nancy Anne Virgilio, PAC
308 Charles St, Bangor, MI 49013 · (269) 427-7967