Individual provider Active NPI

Alexandra Rae Munden, PA-C

  • Physician Assistant
  • Siler City, NC
National Provider Identifier
1336849702
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001013114 Issued in NC
Practice address
475 Progress Blvd
Siler City, NC 27344-6787
Phone
(919) 799-4000
NPI assigned
Mar 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 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 001013114 NC Primary

Addresses

Primary practice location

475 Progress Blvd
Siler City, NC 27344-6787

Mailing address

475 Progress Blvd
Siler City, NC 27344-6787
Phone (919) 799-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20230512000472 NC Practitioner - Physician Assistant 6103282470 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians
Chatham Hospital IncGroup PAC ID 4284807868, 70 clinicians

Practice addresses (Care Compare)

1135 Carthage St
Sanford, NC 27330-4162
Phone (919) 774-2100

475 Progress Blvd
Siler City, NC 27344-6787
Phone (919) 799-4000

Hospital & facility affiliations

  • Chatham Hospital Inc Hospital, Siler City, NC, CCN 341311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001013114NCMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: amunden32893@direct.unc.nchie.net

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1336849702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 PROGRESS BLVD",
            "city": "SILER CITY",
            "state": "NC",
            "postal_code": "273446787",
            "telephone_number": "919-799-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 PROGRESS BLVD",
            "city": "SILER CITY",
            "state": "NC",
            "postal_code": "273446787",
            "telephone_number": "919-799-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDEN",
        "first_name": "ALEXANDRA",
        "middle_name": "RAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001013114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Siler City, NC

Sources for this page

Verify at the official NPI Registry.