Alexandra Jane McMullan, MS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA11161 Issued in TX

Practice address

4471 Long Prairie Rd Ste 100
Flower Mound, TX 75028-1755

Phone

(972) 316-4555

Fax

(972) 316-4550

NPI assigned

Feb 22, 2017

Last updated

Nov 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Michael McGuiness PAGroup PAC ID 5698801702, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

Practice roles

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.

• Dr Michael McGuiness, PA

  dba McGuiness Dermatology

  • Dermatology Physician
  • Prosper, TX
  • NPI 1396920823
  Medicare reassignment Care Compare group
• Grace Elizabeth Brown, MD PA

  • Specialist
  • Flower Mound, TX
  • NPI 1922448489
  NPD (past)
• Nigro Dermatology Group, PA

  • Specialist
  • Houston, TX
  • NPI 1639199581
  NPD (past)

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1255870218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 N PRESTON RD STE 60",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789890",
            "telephone_number": "972-316-4555",
            "fax_number": "469-802-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4471 LONG PRAIRIE RD STE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281755",
            "telephone_number": "972-316-4555",
            "fax_number": "972-316-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLAN",
        "first_name": "ALEXANDRA",
        "middle_name": "JANE",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McHam Family Therapy LLC
• Jana Kay McHam, LMFT-S
• Kamryn McKee, DC
• Monica McKee
• Randell Lynn McKenzie Sr., M.D.
• Leslie Ellen McReynolds, LPC-ASSOCIATE
• Billie Lorraine Means, DDS
• Rebecca Meckfessel, FNP
• Med Southwest, PLLC (MyEyeDr.)
• Med Southwest, PLLC (MyEyeDr.)

• Physician Assistant in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.

Verify at the official NPI Registry.