Individual provider Active NPI

Alex Sherry, PA-C

  • Physician Assistant
  • Albuquerque, NM
National Provider Identifier
1124483169
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2593 Issued in OK
Practice address
8201 Golf Course Rd NW
Albuquerque, NM 87120-5842
Phone
(505) 800-7070
NPI assigned
Dec 17, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 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 2593 OK Primary

Addresses

Primary practice location

8201 Golf Course Rd NW
Albuquerque, NM 87120-5842

Mailing address

46 E 15TH St
Edmond, OK 73013-4301
Phone (405) 200-1230

Other practice location 1

217 Glensford Dr
Fayetteville, NC 28314-0892
Phone (910) 483-4647

Other practice location 2

5825 Plank Rd Ste 105
Fredericksburg, VA 22407-5207
Phone (540) 785-2727

Other practice location 3

3280 Washtenaw Ave
Ann Arbor, MI 48104-4283
Phone (734) 389-2000

Other practice location 4

11888 Marsh Ln Ste 104
Dallas, TX 75234-8083
Phone (972) 488-9222

Other practice location 5

46 E 15th St
Edmond, OK 73013-4301
Phone (405) 200-1230

Other practice location 6

914 N Scottsdale Rd Ste 104
Tempe, AZ 85288-2116
Phone (480) 924-8382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, MI, TX, VA, NC, NM, AZ7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20161214002446 OK Practitioner - Physician Assistant 3577843200 Reassigns benefits to 2 organizations
I20220302002551 MI Practitioner - Physician Assistant 3577843200 Reassigns benefits to 1 organization
I20220324000043 TX Practitioner - Physician Assistant 3577843200 Reassigns benefits to 3 organizations
I20220606002761 VA Practitioner - Physician Assistant 3577843200 Reassigns benefits to 1 organization
I20220606002773 NC Practitioner - Physician Assistant 3577843200 Reassigns benefits to 1 organization
I20230526001313 NM Practitioner - Physician Assistant 3577843200 Reassigns benefits to 1 organization
I20231218003802 AZ Practitioner - Physician Assistant 3577843200 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Resource Management LLCGroup PAC ID 4082753918, 53 clinicians
Ucp Physicians of Central Texas, PLLCGroup PAC ID 3173697935, 99 clinicians
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians

Practice addresses (Care Compare)

10701 N Rockwell Ave
Oklahoma City, OK 73162-4537
Phone (405) 470-1500

1240 E Palm Valley Blvd
Round Rock, TX 78664-3202
Phone (512) 733-9100

16205 N Pennsylvania Ave
Edmond, OK 73013-7325
Phone (405) 705-5700

46 E 15TH St
Edmond, OK 73013-4301
Phone (405) 844-5210

900 N Austin Ave
Suite 105
Georgetown, TX 78626-4349
Phone (512) 930-7828

914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2593OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ucp Physicians of Central Texas, PLLC CurrentSince Jan 17, 2022 Accepting new patients
Primamed Physicians PLLC CurrentSince Jun 19, 2023 Accepting new patients
Washtenaw Urgent Care Current Accepting new patients
Matrix Occupational Health P.C. CurrentSince Feb 27, 2022 Accepting new patients
Citimed, P.a. Past Accepting new patients

Locations

2550 N Thunderbird Cir
Ste 303
Mesa, AZ 85215
Phone (480) 289-7890

3280 Washtenaw Ave
Ann Arbor, MI 48104
Phone (734) 225-9300

1110 Kildaire Farm Rd
Cary, NC 27511
Phone (919) 481-0277

217 Glensford Dr
Fayetteville, NC 28314
Phone (910) 483-4647

4401 Little Rd
Ste 520
Arlington, TX 76016
Phone (682) 318-3114

6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627

11888 Marsh Ln
Ste 104
Dallas, TX 75234
Phone (972) 488-9222

1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330

3304 Alma Dr
Plano, TX 75023
Phone (972) 424-6581

1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100

Interoperability endpoints

  • Direct secure messaging: alex.sherrypac.p14@direct.nextcare.nextgenshare.com
  • Direct secure messaging: alex.sherrypac.p8@direct.nextcare.nextgenshare.com
  • Direct secure messaging: alex.sherrypac.p6@direct.nextcare.nextgenshare.com
  • Direct secure messaging: alex.sherrypac.p10@direct.nextcare.nextgenshare.com
  • Direct secure messaging: alex.sherrypac.p1@direct.nextcare.nextgenshare.com
  • Direct secure messaging: alex.sherrypac.p11@direct.nextcare.nextgenshare.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1124483169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 E 15TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134301",
            "telephone_number": "405-200-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 GOLF COURSE RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871205842",
            "telephone_number": "505-800-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 Glensford Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283140892",
            "country_code": "US",
            "telephone_number": "910-483-4647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5825 Plank Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224075207",
            "country_code": "US",
            "telephone_number": "540-785-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3280 Washtenaw Ave",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481044283",
            "country_code": "US",
            "telephone_number": "734-389-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11888 Marsh Ln Ste 104",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752348083",
            "country_code": "US",
            "telephone_number": "972-488-9222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46 E 15th St",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730134301",
            "country_code": "US",
            "telephone_number": "405-200-1230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "914 N Scottsdale Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852882116",
            "country_code": "US",
            "telephone_number": "480-924-8382",
            "fax_number": "480-966-0566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERRY",
        "first_name": "ALEX",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-17",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.