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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ALEXANDRA WISDOM SMITH APRN, PMHNP-BC
NPI 1477477008
Nurse Practitioner - Psychiatric/Mental Health in Longview, TX

Active since August 06, 2026PECOS Enrolled
107 WOODBINE PL, LONGVIEW, TX 75601(903) 758-2471(903) 234-1639 Get Directions Write a Review

NPPES record added: August 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alexandra Wisdom Smith Aprn, Pmhnp-bc NPPES

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

ALEXANDRA WISDOM SMITH APRN, PMHNP-BC (NPI 1477477008) is an individual psychiatric/mental health provider in Longview, Texas, licensed in Texas (1244064) and active in the NPI registry since August 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1477477008
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameALEXANDRA WISDOM SMITHCredential: APRN, PMHNP-BC
Location Address107 WOODBINE PLLongview, TX 75601-2912
Mailing Address107 Woodbine PlLongview, TX 75601-2912 · (903) 758-2471 · Fax (903) 234-1639
Phone(903) 758-2471
Fax(903) 234-1639
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateAugust 6, 2026
NPPES CertifiedAugust 6, 2026
✔ NPI 1477477008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1244064
107 WOODBINE PL, Longview, TX 75601
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra Wisdom Smith Aprn, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456810894
PECOS Enrollment IDI20260826004434
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.

Medicare Billing Reassignment

Medicare enrollment records show Alexandra Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sabine Valley Regional Mhmr Center
Same address
Mental Health (Including Community Mental Health Center)
107 WOODBINE PL
Longview, TX 75601
  • Reassigned Medicare billing, Texas enrollment
  • 46 clinicians in this Medicare group
NPI 1639232002 (903) 758-2471

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75601 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
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MEGAN BURCH LPC
Counselor (Professional)
107 WOODBINE PL
LONGVIEW, TX 75601
Gregg County (903) 758-2471
TAMMY WATSON-SMITH
Speech-Language Pathologist
107 WOODBINE PL
LONGVIEW, TX 75601
Gregg County (903) 237-2315
JUAN M SILOS LCDC
Counselor (Addiction (Substance Use Disorder))
107 WOODBINE PL
LONGVIEW, TX 75601
Gregg County (903) 758-2471
KIMBERLY L MABRY-PAROLINE APRN, NP-C,PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
107 WOODBINE PL
LONGVIEW, TX 75601
Gregg County (903) 758-2471
PATRICE L JERNEGONS LCDC
Counselor (Addiction (Substance Use Disorder))
107 WOODBINE PL
LONGVIEW, TX 75601
Gregg County (903) 758-2471
BEVERLY ANNE ABBOTT
Specialist
107 WOODBINE PL, UNIT 775
LONGVIEW, TX 75601
Gregg County (903) 237-2315
BERTHA ANN BURTON LCDC
Counselor (Addiction (Substance Use Disorder))
107 WOODBINE PL
LONGVIEW, TX 75601
Gregg County (903) 758-2471
MARNIE R ROOZEN L.P.C.
Counselor (Professional)
107 WOODBINE PL
LONGVIEW, TX 75601
Gregg County (903) 831-7585

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 Alexandra Smith's NPI number?

The NPI number for Alexandra Smith is 1477477008. It was assigned to this individual provider in the NPPES registry on August 6, 2026.

Where is Alexandra Smith located?

Alexandra Smith practices at 107 Woodbine Pl, Longview, TX 75601. The listed phone number is (903) 758-2471.

What is Alexandra Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Alexandra Smith enrolled in Medicare?

Yes. Alexandra Smith is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alexandra Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Smith reassigns Medicare benefits to Sabine Valley Regional Mhmr Center (Longview, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexandra Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alexandra Smith was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.