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

Stephanie Ernesta Smith, PA-C

Individual provider Physician Assistant · NPI 1508275603

Stephanie Ernesta Smith, PA-C is a Physician Assistant in Maplewood, Minnesota. Qualified in 2007, 19 years ago. Practices with Minnesota Oncology Hematology PA, a 132-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
19
Licensed in
MN, WI
In the registry since
2014
Specialties on file
2
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

1580 Beam Ave
Maplewood, MN 55109-1127
Phone: (651) 779-7978
Fax: (651) 779-7656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2651 Hillcrest Dr Ste 105, Hudson, WI 54016-9919 — (715) 280-9151

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11653 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 7134-23 (WI)

Record details

NPI number1508275603
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 4, 2014
Last updated in NPPESMay 23, 2025
Certification dateMay 23, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Minnesota Oncology Hematology Pa — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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