Individual provider Active NPI

Alexandra Rae Paul, PA-C

  • Physician Assistant
  • Rockwall, TX
National Provider Identifier
1174184121
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17013 Issued in TX
Practice address
890 Rockwall Pkwy Ste 110
Rockwall, TX 75032-6871
Phone
(972) 494-6764
NPI assigned
Jun 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085007486 IL
Physician Assistant 363A00000X PA17013 TX Primary

Addresses

Primary practice location

890 Rockwall Pkwy Ste 110
Rockwall, TX 75032-6871

Mailing address

890 Rockwall Pkwy Ste 110
Rockwall, TX 75032-6871
Phone (972) 494-6764

Other practice location 1

6460 Naaman Forest Blvd
Garland, TX 75044-5601
Phone (972) 494-6764

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alexandra.morgan.1@380.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20231103000671 TX Practitioner - Physician Assistant 4284063876

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.14 of 100Reported as group
Quality
97.48
Promoting interoperability
100
Improvement activities
40
Cost
69.64

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Clinics of North Texas, PLLC CurrentSince Oct 1, 2023 Accepting new patients
Urology Clinics of North Texas, PLLC Current Accepting new patients

Locations

7777 Forest Ln
Ste A230
Dallas, TX 75230
Phone (972) 566-7765

6460 Naaman Forest Blvd
Garland, TX 75044
Phone (817) 481-0111

1650 Republic Pkwy
Ste 130
Mesquite, TX 75150

1650 Republic Pkwy
Ste 150
Mesquite, TX 75150
Phone (214) 692-8262

6124 W Parker Rd
Ste 434
Plano, TX 75093
Phone (214) 750-0808

890 Rockwall Pkwy
Ste 110
Rockwall, TX 75032
Phone (972) 494-6764

Interoperability endpoints

  • Direct secure messaging: alexandra.morgan.1@380.direct.athenahealth.com

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": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1174184121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 ROCKWALL PKWY STE 110",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326871",
            "telephone_number": "972-494-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 ROCKWALL PKWY STE 110",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326871",
            "telephone_number": "972-494-6764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6460 Naaman Forest Blvd",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750445601",
            "country_code": "US",
            "telephone_number": "972-494-6764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUL",
        "first_name": "ALEXANDRA",
        "middle_name": "RAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085007486",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alexandra.morgan.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1100 E Woodfield Rd Ste 140",
            "city": "Schaumburg",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601735121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.