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Patrick Kelly Smith, PAC

Physician Assistant in Lynnwood, WA · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124016951

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Registry record

Entity type Individual (Type 1)
Name Patrick Kelly Smith
Credential PAC
Sex Male
Practice address 20200 54th Ave W, Lynnwood, WA, 98036
Enumeration date Oct 6, 2005
Last updated in NPPES May 5, 2021

Taxonomy & licenses

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License 5601004116 (MI) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 5601004116 (MI) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA60940050 (WA) Primary

Other identifiers

Identifier Type State Issuer
142901 Other - GREAT LAKES HEALTH PLAN
381908328 Other - TRICARE
201 Other MI COMMUNITY CHOICE OF MI
3381330 Other MI MOLINA HEALTH CARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Patrick Smith practice?
The practice location on file with NPPES is in Lynnwood, WA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Patrick Smith?
The National Provider Identifier (NPI) for Patrick Smith is 1124016951, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-05-05.