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CASSANDRA SMITH PAC
NPI 1871064352
Physician Assistant in Shenandoah, TX

Active since December 10, 2018PECOS EnrolledAccepts Medicare Assignment
111 VISION PARK BLVD STE 100, SHENANDOAH, TX 77384(713) 714-1399 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Dec 10, 2018 (2 updates tracked since 2018).

About Cassandra Smith Pac NPPES

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

CASSANDRA SMITH PAC (NPI 1871064352) is an individual physician assistant in Shenandoah, Texas, licensed in Texas (PA17102) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2018).

NPPES Registry Identity

NPI1871064352
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCASSANDRA SMITHCredential: PAC
Location Address111 VISION PARK BLVD STE 100Shenandoah, TX 77384-3003
Mailing Address14296 Aspen Valley DrConroe, TX 77384-1518 · (724) 953-2901
Phone(713) 714-1399
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2018
Enumeration DateDecember 10, 2018
Last NPPES UpdateOctober 27, 20252 updates tracked since enumeration
NPPES CertifiedOctober 27, 2025
✔ NPI 1871064352 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 · PA17102
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.
111 VISION PARK BLVD STE 100, Shenandoah, TX 77384
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Other Names 1

Former Name (1)Cassandra Barker

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

Cassandra Smith Pac 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 ID8527495241
PECOS Enrollment IDI20250912000642
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77384 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

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

Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0648
DME-Orthotic Devices · category DF007N
1 supplier20 claims20 services$274.98 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 7

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

MRS. EDELINE MUTANGA N.P
Nurse Practitioner (Family)
111 VISION PARK BLVD STE 100
SHENANDOAH, TX 77384
Montgomery County (713) 714-1399
PROCURA PAIN AND SPINE, PLLC
Anesthesiology (Pain Medicine)
111 VISION PARK BLVD STE 100
SHENANDOAH, TX 77384
Montgomery County (713) 714-1399
SPRINTZ CENTER FOR RECOVERY, PLLC
Preventive Medicine (Addiction Medicine)
111 VISION PARK BLVD STE 100
SHENANDOAH, TX 77384
Montgomery County (713) 714-1399
MR. SCOTT EDWARD ANDERSON PA-C
Physician Assistant
111 VISION PARK BLVD STE 100
SHENANDOAH, TX 77384
Montgomery County (713) 714-1399
ELLA DICKENS MS, LPC, LCDC
Counselor (Professional)
111 VISION PARK BLVD STE 100
SHENANDOAH, TX 77384
Montgomery County (713) 714-1399
DR. YOANN HENRY MILLET M.D.
Pain Medicine (Interventional Pain Medicine)
111 VISION PARK BLVD STE 100
SHENANDOAH, TX 77384
Montgomery County (713) 714-1399
DR. KENNETH QIAN WU M.D.
Pain Medicine (Interventional Pain Medicine)
111 VISION PARK BLVD STE 100
SHENANDOAH, TX 77384
Montgomery County (713) 714-1399

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 Cassandra Smith's NPI number?

The NPI number for Cassandra Smith is 1871064352. It was assigned to this individual provider in the NPPES registry on December 10, 2018. The provider is also known as Cassandra Barker.

Where is Cassandra Smith located?

Cassandra Smith practices at 111 Vision Park Blvd Ste 100, Shenandoah, TX 77384. The listed phone number is (713) 714-1399.

What is Cassandra Smith's specialty?

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

Is Cassandra Smith enrolled in Medicare?

Yes. Cassandra 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.

When was this NPI record last updated?

The NPPES record for Cassandra Smith was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.