Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Maryellen Warro Smith, PA

Individual provider Physician Assistant · NPI 1275648834

MS. Maryellen Warro Smith, PA is a Physician Assistant in Tyler, Texas. Qualified in 2000, 26 years ago. Practices with Christus Trinity Clinic, a 1,531-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
26
Licensed in
TX
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5414 S Broadway Ave
Tyler, TX 75703-1335
Phone: (903) 581-1601
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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 PA04930 (TX)

Record details

NPI number1275648834
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 21, 2006
Last updated in NPPESFebruary 28, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Christus Trinity Clinic — 1531 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations10 on file with Medicare

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