Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kylie Marie Smith, PA-C

Individual provider Physician Assistant · NPI 1013710532

Kylie Marie Smith, PA-C is a Physician Assistant in Waco, Texas. Qualified in 2024, 2 years ago. Practices with Oliver Street 5 01(A) Inc, a 168-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

300 Richland West Cir Ste 2C
Waco, TX 76712-7935
Phone: (254) 340-6000
Fax: (254) 340-6010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA18894 (TX)

Record details

NPI number1013710532
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 31, 2025
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Oliver Street 5.01(A) Inc — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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