Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
STACEY A SMITH
Active
Individual
STACEY A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44095
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0107063
MEDICA #
MN
01
—
0107064
MEDICA #
MN
05
—
11146
—
MN
01
—
1280970
AMERICA'S PPO/ARAZ #
MN
01
—
142065
UCARE #
MN
01
—
20696
NDBS #
MN
01
—
43G89SM
MNBS #
MN
05
—
677682500
—
MN
01
—
DA9031028234
PREFERRED ONE #
MN
01
—
HP38211
HEALTHPARTNERS #
MN
01
—
MN100045
LHS/BANNERHEALTH #
MN
Enumeration date
06/07/2006
Last updated
06/17/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up