Individual provider Active NPI

McKenna Alexis Williamson, DO

  • Obstetrics & Gynecology Physician
  • Austin, TX
National Provider Identifier
1225527773
Registry record updated May 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
T6413 Issued in TX
Practice address
4315 James Casey St Ste 200
Austin, TX 78745-3364
Phone
(512) 383-9752
Fax
(512) 406-7336
NPI assigned
May 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X T6413 TX Primary

Addresses

Primary practice location

4315 James Casey St Ste 200
Austin, TX 78745-3364

Mailing address

6210 E Hwy 290
Austin, TX 78723-1142

Other identifiers 1

IdentifierTypeStateIssuer
T6413OtherTXPHYSICIAN MEDICAL LICENSE

Other names 1

  • Dr. McKenna Alexis Rubalcaba-Williamson Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220908001781 TX Practitioner - Obstetrics/Gynecology 5092063164 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Regional Clinic PAGroup PAC ID 3072507789, 398 clinicians

Practice addresses (Care Compare)

151 Exchange Blvd
500 Arc Hutto
Hutto, TX 78634-5381
Phone (512) 846-1244

22420 Ih
35 Suite 203
Kyle, TX 78640-2656
Phone (737) 404-0347

3816 S 1St St
Austin, TX 78704-7048
Phone (512) 443-1311

3828 S 1St St
Arc South 1St
Austin, TX 78704-7048
Phone (512) 443-1311

6835 Austin Ctr Blvd
Austin, TX 78731-3166
Phone (512) 346-6611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Regional Clinic, PA Obstetrics & Gynecology CurrentSince Aug 2, 2022 Accepting new patients
Austin Regional Clinic, PA CurrentSince Aug 2, 2022 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Jun 17, 2023 Accepting new patients
St. David'S Healthcare Partnership, L.P., LLP Past Accepting new patients

Locations

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

4315 James Casey St
Ste 105
Austin, TX 78745
Phone (512) 383-9752

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

4315 James Casey St
Ste 200
Austin, TX 78745
Phone (512) 383-9752

6210 E Highway 290
Austin, TX 78723

6835 Austin Center Blvd
Austin, TX 78731
Phone (512) 231-5210

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

1401 Medical Pkwy
Ste 220
Cedar Park, TX 78613
Phone (512) 260-1581

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

151 Exchange Blvd
Ste 500
Hutto, TX 78634
Phone (512) 846-1244

Interoperability endpoints

  • Direct secure messaging: mwilliamson27402@arcmd.direct-ci.com

Organizations & group practices 4

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": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746835200000",
    "number": "1225527773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 E HWY 290",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 JAMES CASEY ST STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453364",
            "telephone_number": "512-383-9752",
            "fax_number": "512-406-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "MCKENNA",
        "middle_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2025-05-10",
        "certification_date": "2025-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "T6413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN MEDICAL LICENSE",
            "identifier": "T6413",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MCKENNA",
            "last_name": "RUBALCABA-WILLIAMSON",
            "middle_name": "ALEXIS",
            "prefix": "DR.",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.