Individual provider Active NPI

Sherry A Alexander, PAC

  • Physician Assistant
  • Mason, TX
National Provider Identifier
1245213586
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01694 Issued in TX
Practice address
216 E College
Mason, TX 76856-1390
Phone
(325) 347-5926
Fax
(325) 347-5331
NPI assigned
Nov 21, 2005
Last updated
Aug 7, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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 PA01694 TX Primary

Addresses

Primary practice location

216 E College
Mason, TX 76856-1390

Mailing address

PO Box 989
Eden, TX 76837-0989
Phone (325) 869-5500

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
I20040401001054 TX Practitioner - Physician Assistant 4486646171

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Country Primary Care Physicians CurrentSince Dec 11, 2017 Accepting new patients
Frontera Healthcare Network Past Accepting new patients
Frontera Healthcare Network Past Accepting new patients

Locations

1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344297600000",
    "number": "1245213586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 989",
            "city": "EDEN",
            "state": "TX",
            "postal_code": "768370989",
            "telephone_number": "325-869-5500",
            "fax_number": "325-869-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E COLLEGE",
            "city": "MASON",
            "state": "TX",
            "postal_code": "768561390",
            "telephone_number": "325-347-5926",
            "fax_number": "325-347-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "SHERRY",
        "middle_name": "A",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2012-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, TX

Sources for this page

Verify at the official NPI Registry.