Andrena Pauline Glick, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Buffalo, TX
NPI 1669353603 · NPPES record last updated Jan 28, 2026
Key facts
- NPI
- 1669353603
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP1211187 (TX)
- Practice address
- 249 S Craig St
Buffalo, TX 75831-7707 - Phone
- (903) 322-1080
- Fax
- (903) 322-1086
- NPI assigned
- Sep 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Texas Specialty Physicians
Practice addresses (Care Compare)
249 S Craig St
Buffalo, TX 75831-7707
Phone (903) 322-1080
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251023004826 | TX | Practitioner - Nurse Practitioner | 4789172396 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1211187 | TX | MD | Nurse Practitioner |
| AP1211187 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Specialty Physicians | Nurse Practitioner | Current |
Accepting new patients |
| Texas Specialty Physicians | Current |
Accepting new patients |
Locations
249 S Craig St
Buffalo, TX 75831
Phone (903) 322-1080
514 S Bonham St
Ste D
Mexia, TX 76667
Phone (254) 562-5961
4002 S Loop 256
Ste H
Palestine, TX 75801
Phone (903) 723-8800
4002 S Loop 256
Ste A
Palestine, TX 75801
Phone (903) 723-8800
Interoperability endpoints
- andrena.glick.1@20210.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP1211187 | TX | Yes |
| Nurse Practitioner | 363L00000X | 1211187 | TX |
Addresses
Primary practice location
249 S Craig St
Buffalo, TX 75831-7707
Mailing address
4002 S Loop 256 Ste a
Palestine, TX 75801-8492
Phone (903) 731-5442
Other providers in Buffalo, TX
- Copper Creek Nursing & Rehab, Inc
- Daniel Kayode Ezeji
- Fairfield Hospital District
- Kylan Leigh Ferguson
- Mona Jill Ferguson
- Mikel David Gonzales
- Brittany Celeste Haritos
- Donald L Head
- Holladay Chiropractic
- Monica Lynn Holladay
All providers in Buffalo, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.