Individual provider Active NPI

Andrea Eleanor Smith, PA-C

  • Medical Physician Assistant
  • Snyder, TX
National Provider Identifier
1053451815
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA03322 Issued in TX
Practice address
1700 Cogdell Blvd
Snyder, TX 79549-6162
Phone
(325) 573-1300
Fax
(325) 574-6989
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scurry County Hospital District 21 clinicians

Practice addresses (Care Compare)

1700 Cogdell Blvd
Snyder, TX 79549-6162
Phone (325) 574-7439

Hospital & facility affiliations

  • Cogdell Memorial Hospital Hospital, Snyder, TX, CCN 451384

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
I20040103000046 TX Practitioner - Physician Assistant 3971402447 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scurry County Hospital District CurrentSince Dec 1, 2025 Accepting new patients
Scurry County Hospital District CurrentSince May 26, 2017 Accepting new patients
Scurry County Hospital District CurrentSince May 26, 2017 Accepting new patients
Mark Malone MD PA Past Accepting new patients
Scurry County Hospital District Past Accepting new patients

Locations

1700 Cogdell Blvd
Snyder, TX 79549
Phone (325) 573-6374

5009 College Ave
Snyder, TX 79549
Phone (915) 573-1300

Interoperability endpoints

  • Direct secure messaging: cmhaeschi@yourcarecommunity.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA03322 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

1700 Cogdell Blvd
Snyder, TX 79549-6162

Mailing address

1700 Cogdell Blvd
Snyder, TX 79549-6162
Phone (325) 573-1300

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 31, 2026.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1053451815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 COGDELL BLVD",
            "city": "SNYDER",
            "state": "TX",
            "postal_code": "795496162",
            "telephone_number": "325-573-1300",
            "fax_number": "325-574-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 COGDELL BLVD",
            "city": "SNYDER",
            "state": "TX",
            "postal_code": "795496162",
            "telephone_number": "325-573-1300",
            "fax_number": "325-574-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANDREA",
        "middle_name": "ELEANOR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA03322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snyder, TX

Sources for this page

Verify at the official NPI Registry.