Andrea Michelle Dangremond, PA-C
Individual provider Active NPI Physician Assistant · Snyder, TX
NPI 1710459482 · NPPES record last updated Jun 12, 2024
Key facts
- NPI
- 1710459482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA14699 (TX)
- Practice address
- 1700 Cogdell Blvd
Snyder, TX 79549-6162 - Phone
- (325) 573-6374
- NPI assigned
- Dec 19, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 27
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- American Current Care PA
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, CO
- 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 |
|---|---|---|---|---|
| I20210708001031 | TX | Practitioner - Physician Assistant | 3274870498 | Reassigns benefits to 1 organization |
| I20250820003274 | CO | Practitioner - Physician Assistant | 3274870498 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 093908 | IA | MD | Physician Assistant |
| PA14699 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care P.a. | Current |
Accepting new patients | |
| American Current Care PA | Current |
Accepting new patients | |
| Scurry County Hospital District | Current |
Accepting new patients | |
| Scurry County Hospital District | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 093908 | IA | |
| Physician Assistant | 363A00000X | PA14699 | TX | Yes |
Addresses
Primary practice location
1700 Cogdell Blvd
Snyder, TX 79549-6162
Mailing address
1700 Cogdell Blvd
Snyder, TX 79549-6162
Phone (325) 573-6374
Other providers in Snyder, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2024. 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.