Individual provider Active NPI

Silva Marinez Hamner, PA

  • Physician Assistant
  • Round Rock, TX
National Provider Identifier
1043966211
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15688 Issued in TX
Practice address
1717 N Interstate 35 Ste 200
Round Rock, TX 78664-2901
Phone
(512) 964-6992
NPI assigned
Feb 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA15688 TX Primary

Addresses

Primary practice location

1717 N Interstate 35 Ste 200
Round Rock, TX 78664-2901

Mailing address

1717 N Interstate 35 Ste 200
Round Rock, TX 78664-2901
Phone (512) 964-6992

Other names 1

  • Silva Marinez Tidrick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220527000555 TX Practitioner - Physician Assistant 5395123608 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Austin Travis County Mental Health and Mental Retardation Center 64 clinicians
Family Care Center LLC 703 clinicians

Practice addresses (Care Compare)

1430 Collier St
Austin, TX 78704-2911
Phone (512) 472-4357

2501 W William Cannon Dr BLDG
4 Stonegate Clinic
Austin, TX 78745-5281
Phone (512) 804-3200

3705 Medical Pkwy
Suite 410
Austin, TX 78705-1023
Phone (888) 374-5066

8701 Menchaca Rd
Suite 102
Austin, TX 78748-5383
Phone (888) 374-5066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center LLC, CurrentSince Jan 30, 2026 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center Physician Assistant CurrentSince Jun 8, 2024 Accepting new patients
Family Care Center, LLC Physician Assistant CurrentSince Jan 30, 2026 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center CurrentSince Jun 8, 2024 Accepting new patients

Locations

1430 Collier St
Austin, TX 78704
Phone (512) 427-4357

3705 Medical Pkwy
Ste 410
Austin, TX 78705
Phone (512) 320-5779

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1043966211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 N INTERSTATE 35 STE 200",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642901",
            "telephone_number": "512-964-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N INTERSTATE 35 STE 200",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642901",
            "telephone_number": "512-964-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMNER",
        "first_name": "SILVA",
        "middle_name": "MARINEZ",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-26",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SILVA",
            "last_name": "TIDRICK",
            "middle_name": "MARINEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.