MRS. LORETTA LEA SMITH (PA-C) – Physician Assistant, NPI 1639141971
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for MRS. LORETTA LEA SMITH (PA-C)
2237 S JACKSON ST
SAN ANGELO, TX 769045131
Phone: (325) 747-2292
Fax: (325) 747-2001
Type: Mailing
Shannon Medical Center, 120, East Harris Avenue, Downtown, San Angelo, Tom Green County, Texas, 76903, United States
SAN ANGELO, TX 769035904
Phone: (325) 657-5222
Type: Location
3106, Alta Vista Lane, Southland, San Angelo, Tom Green County, Texas, 76904, United States
SAN ANGELO, TX 769047404
Phone: (325) 657-5222
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $18.
Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.
Last reported payment date: 2024-07-22 • Largest payer in this snapshot: ConvaTec Inc. ($18).
Total Amount
$18
General + Research + Ownership
Payments
1
Total payment records
General Amount
$18
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ConvaTec Inc. | $18 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-08-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040803001079 | I | Physician Assistant | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76904)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Physical Therapist In Private Practice | TX | |
| - | TX | |
| - | OR | |
| - | TX | |
| G A S T R O E N T E R O L O G Y | TX | |
| A N E S T H E S I O L O G Y | TX | |
| - | TX | |
| - | TX | |
| O P H T H A L M O L O G Y | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.