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

Preston S Smith, PA-C

Individual provider Physician Assistant · NPI 1992794929

Preston S Smith, PA-C is a Physician Assistant in Nampa, Idaho. Qualified in 2003, 23 years ago. Practices with Ada Dermatology P A, a 5-clinician group and works from 2 locations. Licensed in Idaho.

Years since qualifying
23
Licensed in
ID
In the registry since
2005
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

215 E Hawaii Ave
Nampa, ID 83686-6011
Phone: (208) 468-5930
Fax: (208) 463-3044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 W. Fort St., Boise, ID 83702 — (208) 422-1000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA464 (ID)

Record details

NPI number1992794929
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 21, 2005
Last updated in NPPESNovember 1, 2023
Certification dateNovember 1, 2023

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 Ada Dermatology P A — 5 clinicians
Accepts Medicare assignment Not indicated

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