Individual provider Active NPI

Alexandra Clough, PA-C

  • Physician Assistant
  • Concord, NH
National Provider Identifier
1508534355
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
250 Pleasant St
Concord, NH 03301-2598
Phone
(603) 227-7000
NPI assigned
Sep 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

250 Pleasant St
Concord, NH 03301-2598

Mailing address

2 1/2 Beacon St Ste 199
Concord, NH 03301-4424

Other practice location 1

480 Lynnfield St Ste 1A
Lynn, MA 01904-1419
Phone (978) 354-3943

Other practice location 2

425 Washington St
Woburn, MA 01801-2157
Phone (781) 285-7955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220121001849 MA Practitioner - Physician Assistant 7315339470 Reassigns benefits to 1 organization
I20231129001407 NH Practitioner - Physician Assistant 7315339470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mass General Brigham Urgent Care LLCGroup PAC ID 9436470119, 106 clinicians

Practice addresses (Care Compare)

1285 Beacon St
Brookline, MA 02446-5237
Phone (888) 980-0505

425 Washington St
Woburn, MA 01801-2157
Phone (617) 724-9245

Hospital & facility affiliations

  • Concord Hospital Hospital, Concord, NH, CCN 300001
  • Concord Hospital- Laconia Hospital, Laconia, NH, CCN 300005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1942NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Urgent Care LLC CurrentSince Dec 10, 2021 Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Dec 10, 2021 Accepting new patients
Mass General Brigham Urgent Care LLC Current Accepting new patients

Locations

1285 Beacon St
Brookline, MA 02446
Phone (617) 751-6205

480 Lynnfield St
Ste 1A
Lynn, MA 01904
Phone (844) 377-4199

425 Washington St
Woburn, MA 01801
Phone (617) 724-9245

Interoperability endpoints

  • Direct secure messaging: brocoum.alexandra.puc@direct.partners.masshiway.net

Organizations & group practices 4

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 3

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": "1630713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1508534355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 1/2 BEACON ST STE 199",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012598",
            "telephone_number": "603-227-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 Lynnfield St Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Lynn",
            "state": "MA",
            "postal_code": "019041419",
            "country_code": "US",
            "telephone_number": "978-354-3943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 Washington St",
            "address_purpose": "LOCATION",
            "city": "Woburn",
            "state": "MA",
            "postal_code": "018012157",
            "country_code": "US",
            "telephone_number": "781-285-7955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLOUGH",
        "first_name": "ALEXANDRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-04",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.