Individual provider Active NPI

Alexandra Hryniewicki, PA-C

  • Physician Assistant
  • Cary, NC
National Provider Identifier
1689456881
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-13816 Issued in NC
Practice address
1010 High House Rd Ste 300
Cary, NC 27513-3581
Phone
(919) 388-9103
NPI assigned
Oct 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 0010-13816 NC
Surgical Physician Assistant 363AS0400X PA9117986 FL
Physician Assistant 363A00000X 0010-13816 NC Primary

Addresses

Primary practice location

1010 High House Rd Ste 300
Cary, NC 27513-3581

Mailing address

1010 High House Rd Ste 300
Cary, NC 27513-3581
Phone (919) 388-9103

Other identifiers 1

IdentifierTypeStateIssuer
1689456881MedicaidNC

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
I20240404002527 NC Practitioner - Physician Assistant 5890133227 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preston Dermatology and Skin Surgery Center PAGroup PAC ID 0547533291, 9 clinicians
Midtown Dermatology, PCGroup PAC ID 2062632599, 5 clinicians

Practice addresses (Care Compare)

1010 High House Rd
Cary, NC 27513-3576
Phone (919) 388-9103

5904 Six Forks Rd
Suite 211
Raleigh, NC 27609-8228
Phone (984) 242-0510

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9117986FLMDSurgical Physician Assistant
0010-13816NCMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Midtown Dermatology, PC CurrentSince Jan 1, 2026 Accepting new patients
Atlantic Neurosurgery Consultants, PA PastSince Jan 1, 2026 Accepting new patients

Locations

5904 Six Forks Rd
Ste 211
Raleigh, NC 27609
Phone (571) 882-1190

4056 Capital Dr
Rocky Mount, NC 27804
Phone (252) 937-6007

Interoperability endpoints

  • Direct secure messaging: ahryniewicki507641@directhisp.wakemed.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1689456881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 HIGH HOUSE RD STE 300",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133581",
            "telephone_number": "919-388-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 HIGH HOUSE RD STE 300",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133581",
            "telephone_number": "919-388-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRYNIEWICKI",
        "first_name": "ALEXANDRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-20",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "0010-13816",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9117986",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689456881",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.