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

Patrick Kelly Smith, PAC

Individual provider Emergency Medicine Physician · NPI 1124016951

Patrick Kelly Smith, PAC is a Physician Assistant in Lynnwood, Washington. Qualified in 2003, 23 years ago. Practices with Kaiser Foundation Health Plan of Washington, a 1,519-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan and Washington.

Years since qualifying
23
Licensed in
MI, WA
In the registry since
2005
Specialties on file
3
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

20200 54th Ave W
Lynnwood, WA 98036-6318
Phone: (425) 672-6400
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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 PA60940050 (WA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 5601004116 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 5601004116 (MI)

Record details

NPI number1124016951
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 6, 2005
Last updated in NPPESMay 5, 2021
Certification dateMay 5, 2021
Mailing address20200 54th Ave W, Lynnwood, WA 98036-6318

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Kaiser Foundation Health Plan Of Washington — 1519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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