Individual provider Active NPI

Alexa Rae Decarr

  • Physician Assistant
  • Utica, NY
National Provider Identifier
1013614593
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
033153 Issued in NY
Practice address
6 Business Park CT
Utica, NY 13502-6309
Phone
(315) 451-5400
Fax
(315) 624-9084
NPI assigned
Feb 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 033153 NY Primary

Addresses

Primary practice location

6 Business Park CT
Utica, NY 13502-6309

Mailing address

6 Business Park CT
Utica, NY 13502-6309
Phone (315) 451-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250211002842 NY Practitioner - Physician Assistant 6901336635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cny Spine and Pain Medicine LLCGroup PAC ID 5597908202, 11 clinicians

Practice addresses (Care Compare)

6 Business Park CT
Utica, NY 13502-6309
Phone (315) 624-9082

7449 Morgan Rd
Liverpool, NY 13090-3901

7449 Morgan Rd
Liverpool, NY 13090-3973
Phone (315) 451-5400

Hospital & facility affiliations

  • Wynn Hospital Hospital, Utica, NY, CCN 330044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
033153NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cny Spine and Pain Medicine LLC CurrentSince Jan 6, 2025 Accepting new patients
Cny Spine and Pain Medicine LLC CurrentSince Jan 6, 2025 Accepting new patients

Locations

7449 Morgan Rd
Liverpool, NY 13090
Phone (315) 451-5400

6 Business Park Ct
Utica, NY 13502
Phone (315) 624-9082

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1013614593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BUSINESS PARK CT",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026309",
            "telephone_number": "315-451-5400",
            "fax_number": "315-624-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BUSINESS PARK CT",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026309",
            "telephone_number": "315-451-5400",
            "fax_number": "315-624-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECARR",
        "first_name": "ALEXA",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "033153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.