MS. MARYELLEN WARRO SMITH P.A.
NPI 1275648834
Physician Assistant in Tyler, TX

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
5414 S BROADWAY AVE, TYLER, TX 75703(903) 581-1601 Get Directions Write a Review

NPPES record last updated: February 28, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 28, 2018, Apr 1, 2016 (2 updates tracked since 2016).

About Ms. Maryellen Warro Smith P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARYELLEN WARRO SMITH P.A. (NPI 1275648834) is an individual physician assistant in Tyler, Texas, licensed in Texas (PA04930) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1275648834
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. MARYELLEN WARRO SMITHCredential: P.A.
Location Address5414 S BROADWAY AVETyler, TX 75703-1335
Mailing Address1905 S Donnybrook AveTyler, TX 75701-4236 · (903) 597-3140 · Fax (903) 595-5693
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 21, 2006
Last NPPES UpdateFebruary 28, 20182 updates tracked since enumeration
✔ NPI 1275648834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA04930
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5414 S BROADWAY AVE, Tyler, TX 75703

Other Names 1

Former Name (1)Maryellen Warro P.a.

Other Identifiers 16

Other75-1976930-005TX · Tricare
Other75-2616977-001TX · Tricare
Other75-0818167-048TX · Tricare
Other75-2616977-002TX · Tricare
Other8545NDTX · Bcbs
Medicaid337319303TX
Other8547NDTX · Bcbs
Other8544NDTX · Bcbs
Other75-2616977-028TX · Tricare
Medicaid337319301TX
Medicaid337319302TX
Other75-0818167-015TX · Tricare
Other75-0818167-022TX · Tricare
Other75-0818167-044TX · Tricare
Other8546NDTX · Bcbs
Medicaid337319304TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Maryellen Warro Smith P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587665054
PECOS Enrollment IDI20070125000472
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
219 services152 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
96 services88 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
52 services52 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
14 services11 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
12 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$17.58 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$90.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
5414 S BROADWAY AVE
TYLER, TX 75703
Emergency Medicine
5414 S BROADWAY AVE
TYLER, TX 75703
Family Medicine
5414 S BROADWAY AVE
TYLER, TX 75703
Physician Assistant (Medical)
5414 S BROADWAY AVE
TYLER, TX 75703
Physician Assistant
5414 S BROADWAY AVE
TYLER, TX 75703
Emergency Medicine
5414 S BROADWAY AVE
TYLER, TX 75703
Nurse Practitioner (Family)
5414 S BROADWAY AVE
TYLER, TX 75703
Nurse Practitioner (Family)
5414 S BROADWAY AVE
TYLER, TX 75703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryellen Smith's NPI number?

The NPI number for Maryellen Smith is 1275648834. It was assigned to this individual provider in the NPPES registry on August 21, 2006. The provider is also known as Maryellen Warro P.A..

Where is Maryellen Smith located?

Maryellen Smith practices at 5414 S Broadway Ave, Tyler, TX 75703. The listed phone number is (903) 581-1601.

What is Maryellen Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Maryellen Smith enrolled in Medicare?

Yes. Maryellen Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Maryellen Smith accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Maryellen Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Maryellen Smith affiliated with any hospitals?

According to CMS data, Maryellen Smith is affiliated with Christus Mother Frances Hospital.

When was this NPI record last updated?

The NPPES record for Maryellen Smith was last updated on February 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.