Active NPI
Alexandra Quane Cotter, PA-C
- Physician Assistant
- Gallup, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2022-0102
- Practice address
- 2022 E Aztec Ave
Gallup, NM 87301-4804 - Phone
- (505) 397-5172
- Fax
- (877) 396-1184
- NPI assigned
- Jul 21, 2015
- Last updated
- Feb 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-05917 | NC | |
| Physician Assistant | 363A00000X | PA2022-0102 | NM | Primary |
Addresses
Primary practice location
2022 E Aztec Ave
Gallup, NM 87301-4804
Mailing address
2022 E Aztec Ave
Gallup, NM 87301-4804
Phone (505) 397-5172
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Central Ave SE
Albuquerque, NM 87106-4930
Phone (505) 841-1234
201 Cedar St SE
Suite 7600
Albuquerque, NM 87106-4921
Phone (505) 563-2500
2200 W 21St St
Clovis, NM 88101-2011
Phone (505) 769-7577
2400 Unser Blvd SE
Rio Rancho, NM 87124-4740
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Duke University Health System, Inc. | Current | Accepting new patients | |
| GCH Campus Clinic | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Past | Accepting new patients |
Locations
2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700
1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124
201 Cedar St SE
Ste 7600
Albuquerque, NM 87106
Phone (505) 563-2500
201 Cedar St SE
Ste 800
Albuquerque, NM 87106
Phone (505) 563-2500
8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
2111 College Dr
Gallup, NM 87301
Phone (505) 397-5172
2400 Unser Blvd SE
Rio Rancho, NM 87124
Phone (505) 253-0000
Interoperability endpoints
- acotter239458@direct.phs.org
- acotter251153@direct.medicine.duke.edu
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- Federally Qualified Health Center (FQHC)
- Gallup, NM
- NPI 1336807254
-
dba Duke University Hospital
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1558392977
-
- Federally Qualified Health Center (FQHC)
- Gallup, NM
- NPI 1619850955
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
dba Duke Home Infusion
- Parenteral & Enteral Nutrition Supplies (DME)
- Durham, NC
- NPI 1427187525
-
dba Psychiatry Billing-DUHS
- Social Worker
- Durham, NC
- NPI 1497912232
-
dba Espanola Hospital
- Rural Acute Care Hospital
- Espanola, NM
- NPI 1154307593
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
dba Presbyterian Kaseman Psych Unit
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1093190969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2022 E AZTEC AVE",
"city": "GALLUP",
"state": "NM",
"postal_code": "873014804",
"telephone_number": "505-397-5172",
"fax_number": "877-396-1184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2022 E AZTEC AVE",
"city": "GALLUP",
"state": "NM",
"postal_code": "873014804",
"telephone_number": "505-397-5172",
"fax_number": "877-396-1184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTER",
"first_name": "ALEXANDRA",
"middle_name": "QUANE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-21",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-05917",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NM",
"license": "PA2022-0102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gallup, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.