KATRINA J SMITH P.A.
NPI 1689964462
Physician Assistant - Surgical in Orlando, FL

NPI Status: Active since April 13, 2011

Contact Information

4215 EDGEWATER DR
ORLANDO, FL
ZIP 32804
Phone: (973) 826-8080
Fax: (888) 972-6480

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  • Individual
  • Female
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • PECOS Enrolled

About KATRINA SMITH

This page provides the complete NPI Profile along with additional information for Katrina Smith, a provider established in Orlando, Florida with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1689964462 assigned on April 2011. The practitioner's primary taxonomy code is 363AS0400X with license number PA9105946 (FL). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1689964462
Provider Name
KATRINA J SMITH P.A.
Gender
Female
Entity Type
Individual
Location Address
4215 EDGEWATER DR ORLANDO, FL 32804
Location Phone
(973) 826-8080
Location Fax
(888) 972-6480
Mailing Address
PO BOX 4059 WAYNE, NJ 07474
Mailing Phone
(973) 826-8080
Mailing Fax
(888) 972-6480
Is Sole Proprietor?
No
Enumeration Date
04-13-2011
Last Update Date
07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA9105946
License State
FL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
  • BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
  • BlueSelect Bronze 1449 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - EPO
  • BlueSelect Bronze 2139 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - EPO
  • BlueSelect Bronze 2139E ($0 Virtual PCP Visits / $50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
  • BlueSelect Bronze 2139V ($0 Virtual PCP Visits / $50 PCP Visits / Adult Vision / Rewards) - EPO
  • BlueSelect Bronze 2342S ($50 PCP Visits / Multilingual Available / Rewards) - EPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
  • BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) - POS
  • BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) - POS
  • BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) - POS
  • BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - POS
  • BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
  • BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
  • BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
  • BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
  • BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
FB469UOTHER (01)DCQSS SCS PTAN

Medicare Participation & PECOS Enrollment Status

Katrina Smith is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for KATRINA J SMITH P.A.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1689964462
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261691868412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 8 + 6 + 8 + 4 + 1 + 2 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 22

The NPI number 1689964462 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518160779MR. STEPHEN E MCNALLY SR. CST CFA
Individual
Specialist/Technologist, Other (Surgical Assistant)4215 EDGEWATER DR
ORLANDO, FL 32804
(407) 539-2000
1104805001 PENN L MATTOX PA-C
Individual
Physician Assistant (Surgical)4215 EDGEWATER DR
ORLANDO, FL 32804
(407) 539-2000
1437144953 RICHARD KENT CHAPMAN PA C
Individual
Physician Assistant (Surgical)4215 EDGEWATER DR
ORLANDO, FL 32804
(407) 539-2000
1457345449 CHRISTOPHER J KONDOR PA C
Individual
Physician Assistant (Surgical)4215 EDGEWATER DR
ORLANDO, FL 32804
(407) 539-2000
1407884950 KENNETH E. BAKER PA-C
Individual
Physician Assistant4215 EDGEWATER DR
ORLANDO, FL 32804
(407) 539-2000
1114000676 MICHELLE A PETTIT PAC
Individual
Physician Assistant4215 EDGEWATER DR
ORLANDO, FL 32804
(973) 826-8291
1306916572MR. WILBERTO OLIVERA PA-C
Individual
Physician Assistant (Surgical)4215 EDGEWATER DR
ORLANDO, FL 32804
(973) 826-8291
1588903108 COLLEEN REGES PA-C
Individual
Physician Assistant (Medical)4215 EDGEWATER DR
ORLANDO, FL 32804
(973) 826-8291
1043272255 MICHAEL EDWARD HAMMOOR PA-C
Individual
Physician Assistant (Surgical)4215 EDGEWATER DR
ORLANDO, FL 32804
(407) 539-2000
1497901029 ANTHONY ALLEN MOORE PA
Individual
Physician Assistant4215 EDGEWATER DR
ORLANDO, FL 32804
(855) 582-7747
1609854876 PAMELA JEAN STOIKE PAC
Individual
Physician Assistant (Surgical)4215 EDGEWATER DR
ORLANDO, FL 32804
(973) 826-8080
1740521137QSS-SOUTHEAST CLINICAL SERVICES LLC
Organization
Surgery4215 EDGEWATER DR
ORLANDO, FL 32804
(407) 539-2000
1487684528 DAVID M GONDEK PA-C
Individual
Physician Assistant (Surgical)4215 EDGEWATER DR
ORLANDO, FL 32804
(407) 539-2000
1083968820 DENISE M LIVINGSTON ARNP
Individual
Nurse Practitioner (Adult Health)4215 EDGEWATER DR
ORLANDO, FL 32804
(407) 539-2000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689964462, enumerated in the NPI registry as an "individual" on April 13, 2011

The provider is located at 4215 Edgewater Dr Orlando, Fl 32804 and the phone number is (973) 826-8080

The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

This NPI record was last updated on April 13, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.