NPIMap

Individual provider Active NPI

Alexa Scanlan, PA

  • Physician Assistant
  • Mayer, AZ
National Provider Identifier
1447973300
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
17301 E Spring Valley Rd Ste G
Mayer, AZ 86333-4263
Phone
(928) 404-8004
Fax
(623) 374-5576
NPI assigned
Sep 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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 Primary

Addresses

Primary practice location

17301 E Spring Valley Rd Ste G
Mayer, AZ 86333-4263

Mailing address

17301 E Spring Valley Rd Ste G
Mayer, AZ 86333-4263
Phone (928) 404-8004

Other practice location 1

1739 E Beverly Ave Ste 221
Kingman, AZ 86409-3593
Phone (928) 771-5595

Other identifiers 1

IdentifierTypeStateIssuer
204500MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240306002771 AZ Practitioner - Physician Assistant 0749626323 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Southern College of Medicine and Surgery, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

3151 N Windsong Dr
Prescott Valley, AZ 86314-2240
Phone (928) 458-7583

3251 N Windsong Dr
Prescott Valley, AZ 86314-1222
Phone (928) 772-2582

3257 N Windsong Dr
Prescott Valley, AZ 86314-1222
Phone (928) 772-2582

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yavapai Regional Medical Center Physician Care LLC Current Accepting new patients
Yavapai Regional Medical Center Physician Care LLC CurrentSince Dec 1, 2025 Accepting new patients
Exceptional Physicians Group Prescott Hospital PLLC CurrentSince Mar 7, 2025 Accepting new patients
Yavapai Regional Medical Center Physician Care LLC CurrentSince Dec 1, 2025 Accepting new patients
Exceptional Health Care Bullhead City LLC PastSince Nov 19, 2023 Accepting new patients
Exceptional Health Care Prescott LLC PastSince Aug 1, 2024 Accepting new patients

Locations

1739 E Beverly Ave
Ste 221
Kingman, AZ 86409
Phone (928) 771-5595

4822 E State Route 69
Prescott, AZ 86301
Phone (436) 341-7800

1001 Willow Creek Rd
Ste 3200
Prescott, AZ 86301
Phone (928) 771-5595

3120 Clearwater Dr
Prescott, AZ 86305
Phone (928) 445-4818

3514 Cedar Springs Rd
Dallas, TX 75219
Phone (281) 415-6687

Organizations & group practices 10

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": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1447973300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17301 E SPRING VALLEY RD STE G",
            "city": "MAYER",
            "state": "AZ",
            "postal_code": "863334263",
            "telephone_number": "928-404-8004",
            "fax_number": "623-374-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17301 E SPRING VALLEY RD STE G",
            "city": "MAYER",
            "state": "AZ",
            "postal_code": "863334263",
            "telephone_number": "928-404-8004",
            "fax_number": "623-374-5576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1739 E Beverly Ave Ste 221",
            "address_purpose": "LOCATION",
            "city": "Kingman",
            "state": "AZ",
            "postal_code": "864093593",
            "country_code": "US",
            "telephone_number": "928-771-5595",
            "fax_number": "928-771-5596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCANLAN",
        "first_name": "ALEXA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204500",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayer, AZ

Sources for this page

Verify at the official NPI Registry.