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

Rebecca J. Smith, PA-C

Individual provider Physician Assistant · NPI 1013030949

Rebecca J. Smith, PA-C is a Physician Assistant in O Fallon, Missouri. Qualified in 2004, 22 years ago. Practices with Forefront Dermatology SC, a 645-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
22
Licensed in
MO
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

9209 Phoenix Village Pkwy
O Fallon, MO 63368-4280
Phone: (636) 561-4630
Fax: (636) 561-4610
Show map & directions

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

Additional practice locations (1)

  • 1800 Wentzville Pkwy, Wentzville, MO 63385-3817 — (636) 200-9220

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2006013856 (MO)

Record details

NPI number1013030949
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 7, 2007
Last updated in NPPESMarch 14, 2025
Certification dateMarch 14, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in O Fallon