NPIMap

Individual provider Active NPI

Alexandra Mary Hencken, PA-C

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1053079715
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7180 Cascade Valley CT Ste 180
Las Vegas, NV 89128-1407
Phone
(702) 641-2150
NPI assigned
Nov 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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 Primary

Addresses

Primary practice location

7180 Cascade Valley CT Ste 180
Las Vegas, NV 89128-1407

Mailing address

7180 Cascade Valley CT Ste 180
Las Vegas, NV 89128-1407
Phone (702) 641-2150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240516000646 NV Practitioner - Physician Assistant 2769823129 Reassigns benefits to 3 organizations
I20260210002383 CA Practitioner - Physician Assistant 2769823129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Shelin Agrawal and Hyer PLLCGroup PAC ID 5890955959, 65 clinicians
Radiology Specialists LTD Marasso-MillerGroup PAC ID 0143110874, 136 clinicians
Ellis Bandt Birkin Kollins and Wong PLLCGroup PAC ID 4486568946, 68 clinicians
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

Las Vegas, NV 89106
Phone (702) 759-8600

Las Vegas, NV 89135
Phone (702) 759-8600

1113 Lumina CT
Las Vegas, NV 89117-7105
Phone (904) 399-5550

1397 S Loop Rd
Suite 100
Pahrump, NV 89048-4752
Phone (702) 759-8600

2221 Stockton Blvd
Sacramento, CA 95817-1418
Phone (916) 734-2680

2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-2011

246 Crystal Springs PL
Henderson, NV 89074-4202
Phone (904) 399-5550

2811 W Horizon Ridge Pkwy
Henderson, NV 89052-4394
Phone (702) 759-8600

2953 Kedleston St
Las Vegas, NV 89135-2232
Phone (904) 399-5550

3025 S Rainbow Blvd
Las Vegas, NV 89146-6582
Phone (702) 759-8600

3100 N Tenaya Way
Las Vegas, NV 89128-0436
Phone (866) 722-1655

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (866) 722-1655

404 Lake Windemere St
Las Vegas, NV 89138-3004
Phone (702) 759-8600

4868 X St
Sacramento, CA 95817-2205

5400 S Rainbow Blvd
Las Vegas, NV 89118-1859
Phone (702) 853-3000

657 N Town Ctr Dr
Las Vegas, NV 89144-6367
Phone (702) 233-7571

7130 Smoke Ranch Rd
Las Vegas, NV 89128-3157
Phone (866) 722-1655

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67271CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca CurrentSince Jan 21, 2026 Accepting new patients
Regents of the Univ of Ca CurrentSince Jan 21, 2026 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Richard F. Weiner, MD PC Past Accepting new patients

Locations

2221 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-2680

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

Organizations & group practices 8

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 8

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": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1053079715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7180 CASCADE VALLEY CT STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281407",
            "telephone_number": "702-641-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7180 CASCADE VALLEY CT STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281407",
            "telephone_number": "702-641-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENCKEN",
        "first_name": "ALEXANDRA",
        "middle_name": "MARY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2023-06-21",
        "certification_date": "2023-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.