NPIMap

Individual provider Active NPI

Alexis McKean, PA-C

  • Physician Assistant
  • Brookfield, CT
National Provider Identifier
1386210169
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA8164 Issued in MA
Practice address
2 Trailing Ridge Rd
Brookfield, CT 06804-3656
Phone
(203) 733-6182
NPI assigned
Jun 2, 2021
Last updated
Dec 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 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 PA8164 MA Primary

Addresses

Primary practice location

2 Trailing Ridge Rd
Brookfield, CT 06804-3656

Mailing address

2 Trailing Ridge Rd
Brookfield, CT 06804-3656
Phone (203) 733-6182

Other practice location 1

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220513000950 MA Practitioner - Physician Assistant 1456738491 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

125 Parker Hill Ave
Boston, MA 02120-2847
Phone (617) 264-1100

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

800 W Cummings Park
Suite 2250
Woburn, MA 01801-7034
Phone (781) 890-2133

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA8164MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham & Womens Physicians Organization Inc CurrentSince Feb 3, 2022 Accepting new patients
Brigham and Women's Hospital Current Accepting new patients
Harbor Medical Associates, Inc. CurrentSince Feb 3, 2022 Accepting new patients
Northeast Orthopaedic Alliance PLLC CurrentSince Mar 1, 2024 Accepting new patients
Boston Sports & Shoulder Center, LLC CurrentSince Jan 16, 2023 Accepting new patients
Northeast Orthopaedic Alliance PLLC CurrentSince Mar 1, 2024 Accepting new patients
Mass General Brigham Medical Group Suburban Massachusetts Inc CurrentSince Jan 1, 2026 Accepting new patients

Locations

75 Francis St
Boston, MA 02115

830 Boylston St
Ste 107
Chestnut Hill, MA 02467
Phone (617) 264-1100

40 Allied Dr
Dedham, MA 02026
Phone (617) 264-1100

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

125 Parker Hill Ave
Roxbury Xing, MA 02120
Phone (617) 264-1100

840 Winter St
Waltham, MA 02451
Phone (781) 487-9944

150 Flanders Rd
Westborough, MA 01581
Phone (508) 870-2222

541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200

Interoperability endpoints

  • Direct secure messaging: alexis.mckean.2@749.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/749/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mckean.alexis.bwh@direct.partners.masshiway.net

Organizations & group practices 7

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.

Hospital & facility affiliations 8

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": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1386210169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TRAILING RIDGE RD",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068043656",
            "telephone_number": "203-733-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TRAILING RIDGE RD",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068043656",
            "telephone_number": "203-733-6182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Francis St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021156110",
            "country_code": "US",
            "telephone_number": "617-732-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKEAN",
        "first_name": "ALEXIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA8164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

Verify at the official NPI Registry.