Individual provider Active NPI

Amanda Aguilar Smith, PA-C

  • Physician Assistant
  • Weslaco, TX
National Provider Identifier
1225301278
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05913 Issued in TX
Practice address
1408 E 8TH St
Weslaco, TX 78596-6639
Phone
(956) 968-0103
Fax
(956) 968-0481
NPI assigned
Feb 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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 PA05913 TX Primary

Addresses

Primary practice location

1408 E 8TH St
Weslaco, TX 78596-6639

Mailing address

1408 E 8TH St
Weslaco, TX 78596-6639
Phone (956) 968-0103

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
I20260625003077 TX Practitioner - Physician Assistant 9032682596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Univeristy of Texas Rio Grande Valley Med School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5505 S Expressway
77 Suite 201
Harlingen, TX 78550-3222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA05913TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Antonio Martinez Family Medicine, PLLC Current Accepting new patients

Locations

5505 S Expressway 77
Ste 201
Harlingen, TX 78550
Phone (956) 412-3332

Organizations & group practices 1

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": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1225301278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 E 8TH ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966639",
            "telephone_number": "956-968-0103",
            "fax_number": "956-968-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 E 8TH ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966639",
            "telephone_number": "956-968-0103",
            "fax_number": "956-968-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMANDA",
        "middle_name": "AGUILAR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-21",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

Verify at the official NPI Registry.