Individual provider Active NPI

Andrea Michelle Dangremond, PA-C

  • Physician Assistant
  • Snyder, TX
National Provider Identifier
1710459482
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14699 Issued in TX
Practice address
1700 Cogdell Blvd
Snyder, TX 79549-6162
Phone
(325) 573-6374
NPI assigned
Dec 19, 2018
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 093908 IA
Physician Assistant 363A00000X PA14699 TX Primary

Addresses

Primary practice location

1700 Cogdell Blvd
Snyder, TX 79549-6162

Mailing address

1700 Cogdell Blvd
Snyder, TX 79549-6162
Phone (325) 573-6374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210708001031 TX Practitioner - Physician Assistant 3274870498 Reassigns benefits to 1 organization
I20250820003274 CO Practitioner - Physician Assistant 3274870498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

1730 Blake St
Suite 100
Denver, CO 80202-1274
Phone (303) 296-2273

2322 S Academy Blvd
Colorado Springs, CO 80916-2406
Phone (719) 390-1727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
093908IAMDPhysician Assistant
PA14699TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Scurry County Hospital District CurrentSince Jul 1, 2021 Accepting new patients
American Current Care P.a. CurrentSince Aug 14, 2025 Accepting new patients
Scurry County Hospital District CurrentSince Jul 1, 2021 Accepting new patients
American Current Care PA CurrentSince Aug 14, 2025 Accepting new patients

Locations

1730 Blake St
Ste 100
Denver, CO 80202
Phone (303) 296-2273

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

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

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1710459482",
    "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": "325-573-6374"
        },
        {
            "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": "325-573-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANGREMOND",
        "first_name": "ANDREA",
        "middle_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "093908",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snyder, TX

Sources for this page

Verify at the official NPI Registry.