Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heather Smith

Individual provider Physician Assistant · NPI 1992038236

Heather Smith is a Physician Assistant in Crystal, Minnesota. Qualified in 2009, 17 years ago. Practices with Twin Ports Dermatology Inc, an 8-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
17
Licensed in
MN
In the registry since
2009

Practice location Address checks out

4725 36th Ave N
Crystal, MN 55422-2169
Phone: (763) 231-8700
Fax: (763) 231-8711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1332 (MN)

Record details

NPI number1992038236
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 17, 2009
Last updated in NPPESDecember 14, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Twin Ports Dermatology Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Crystal