Individual provider Active NPI

Audrey C Snyder, PA-C

  • Physician Assistant
  • Bedford, TX
National Provider Identifier
1669010773
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13244 Issued in TX
Practice address
1615 Hospital Pkwy Ste 210
Bedford, TX 76022-5936
Phone
(817) 835-9379
Fax
(817) 355-4515
NPI assigned
Dec 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 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 PA13244 TX Primary

Addresses

Primary practice location

1615 Hospital Pkwy Ste 210
Bedford, TX 76022-5936

Mailing address

1615 Hospital Pkwy Ste 210
Bedford, TX 76022-5936
Phone (817) 835-9379

Other practice location 1

2813 W Southlake Blvd Ste 150
Southlake, TX 76092-6889
Phone (817) 835-9289

Other practice location 2

905 E Southlake Blvd Ste 100
Southlake, TX 76092-7080
Phone (817) 809-2400

Other names 1

  • Audrey C Schmitz 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
I20200114002356 TX Practitioner - Physician Assistant 3678908944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Ear, Nose and Throat Specialists, L.L.P.Group PAC ID 9133150691, 11 clinicians

Practice addresses (Care Compare)

1615 Hospital Pkwy
Suite 210
Bedford, TX 76022-5936
Phone (817) 540-3121

Merit-based Incentive Payment System (MIPS)

Final score
86.85 of 100Reported as group
Quality
100
Promoting interoperability
88
Improvement activities
40
Cost
66.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA13244TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Richard D Thrasher III MD PA PastSince Dec 1, 2019 Accepting new patients

Organizations & group practices 2

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": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1669010773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 HOSPITAL PKWY STE 210",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225936",
            "telephone_number": "817-835-9379",
            "fax_number": "817-355-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 HOSPITAL PKWY STE 210",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225936",
            "telephone_number": "817-835-9379",
            "fax_number": "817-355-4515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2813 W Southlake Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760926889",
            "country_code": "US",
            "telephone_number": "817-835-9289",
            "fax_number": "817-355-4532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "905 E Southlake Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760927080",
            "country_code": "US",
            "telephone_number": "817-809-2400",
            "fax_number": "817-355-4508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "AUDREY",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "SCHMITZ",
            "middle_name": "C",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.