NPPES file of Aug 9, 2026

Nicole Smith, PA

Physician Assistant · Bangor, MI

Nicole Smith, PA is a physician assistant with a practice address in Bangor, Michigan, and NPI 1053941674, issued on Jan 23, 2020. Check the license (Michigan 5601009812, as entered in NPPES) with the Michigan board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1053941674
Name
Nicole Smith
Credential
PA
Primary taxonomy
Physician Assistant 363A00000X
License number
5601009812 MI
Self-reported in NPPES; status is on the state search
Practice location
520 Railroad St, Bangor, MI 49013
Phone
(269) 427-5811
Enumerated
Jan 23, 2020
Record last updated
Nov 11, 2024
Medicare enrollment
Enrolled (PECOS I20200219002687); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 520 Railroad St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Caralyn Dehaan, D.O.Family Medicine Physician1750673711
  2. David Lyman, MDFamily Medicine Physician1174737241
  3. Rhonda Shinault, P.A.-CPhysician Assistant1629097175

Verify Nicole Smith in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Michigan board licenses this profession
    Search for license 5601009812
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Michigan license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Industry payments in 2024: $18.45

1 payment: food and beverage; the largest payer was Boston Scientific Corporation. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Nicole Smith$18.45
  2. Specialty average$841.65

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

One hospital affiliation

  1. Bronson Lakeview HospitalBangor, MI · Critical Access Hospitals5 of 5 stars

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.

Nicole Smith among 6,989 physician assistant records in Michigan

Nicole Smith, PA is one of 6,989 physician assistant records with a practice address in Michigan. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 66% of them.

  • NPI issued2020 · 66% of these records are older, 29% newer
  • In a Medicare fileYes · 82% of these records are
  • In the CMS Doctors and Clinicians fileYes · 68% of these records are
  • Graduated2019 · median 2017 among the 4,739 with a school on file
  • Record last updated2024 · 40% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

4 physician assistant records list a practice address in Bangor

They are 4 of the 58 NPPES records with a practice address in Bangor, and 6,989 physician assistant records in Michigan.

The 8 physician assistant records with the nearest ZIP codes

  1. Shirley Sanders, P.A.C.Bangor, MI 490131932194214
  2. Rhonda Shinault, P.A.-CBangor, MI 490131629097175
  3. Nancy Virgilio, PA CBangor, MI 490131619908167
  4. Calle Carroll, PA-CBattle Creek, MI 490141427740356
  5. Stephanie Mason, PA-CBattle Creek, MI 490141275815870
  6. Gloria Padilla-Carlson, PA-CAugusta, MI 490121275500399
  7. Jami Ridgeway, PA-CBattle Creek, MI 490141043984693
  8. Madelyne Standley, PA-CAugusta, MI 490121205670742

Common questions

What is Nicole Smith, PA's NPI number?

Nicole Smith, PA's National Provider Identifier (NPI) is 1053941674, issued on Jan 23, 2020. An NPI identifies a provider in billing; it is not a license.

Where is Nicole Smith, PA located?

The NPPES record lists a practice address at 520 Railroad St, Bangor, MI, 49013. Phone: (269) 427-5811. Providers update this record themselves, so call before visiting.

How can I verify Nicole Smith, PA's license?

NPPES lists Michigan license number 5601009812, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.