Individual provider Active NPI

Alexandra Presler, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1093186603
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6174 Issued in AZ
Practice address
21410 N 19TH Ave
Ste. 151
Phoenix, AZ 85027-2738
Phone
(602) 677-6399
NPI assigned
Oct 8, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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 6174 AZ Primary

Addresses

Primary practice location

21410 N 19TH Ave
Ste. 151
Phoenix, AZ 85027-2738

Mailing address

PO Box 43108
Phoenix, AZ 85080-3108
Phone (602) 677-6399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20211028003163 CA Practitioner - Physician Assistant 6507158383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Flatow Medical Corporation ApcGroup PAC ID 6507273059, 23 clinicians

Practice addresses (Care Compare)

320 Pine Ave
Suite 609
Long Beach, CA 90802-2310
Phone (562) 279-0180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58509CAMDOrthodontics and Dentofacial Orthopedic Dentist
6174AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas and Flatow Medical Corporation PastSince Jun 7, 2020 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1093186603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43108",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850803108",
            "telephone_number": "602-677-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21410 N 19TH AVE",
            "address_2": "STE. 151",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272738",
            "telephone_number": "602-677-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESLER",
        "first_name": "ALEXANDRA",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.