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.
- 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
Also registered at 520 Railroad St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Caralyn Dehaan, D.O.Family Medicine Physician1750673711
- David Lyman, MDFamily Medicine Physician1174737241
- Rhonda Shinault, P.A.-CPhysician Assistant1629097175
Verify Nicole Smith in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Michigan board licenses this profession
Search for license 5601009812Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
One hospital affiliation
- 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.
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.
All 4 in Bangor → All 6,989 in Michigan → Every provider in Bangor →
Other physician assistant records in Michigan
- Hauraa Aalabdulrasul, PADetroit, MI1467181982
- Kilee Aamodt, PA-CMuskegon, MI1578964300
- Rasha AbbasDetroit, MI1750239505
- Layan Abbasi, PA-CYpsilanti, MI1043045552
- Veronica Abbo, PA-CRoseville, MI1659889806
- Stephanie Abbott, PA-CGrand Rapids, MI1386072825
- Samar Abboud, PA-CYpsilanti, MI1871942144
- Salma Abd Elhamid, PA-CTroy, MI1457245730
- Malak Abdallah, PA-CDearborn, MI1245922194
- Marriam Abdallah, PA-CDearborn, MI1720962574
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.