Individual provider Active NPI

Alexandria Habecker, PA

  • Physician Assistant
  • Newburyport, MA
National Provider Identifier
1700233608
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
21 Highland Ave Ste 16
Newburyport, MA 01950-3873
Phone
(978) 922-2226
Fax
(978) 922-2269
NPI assigned
May 20, 2016
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 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 MA Primary

Addresses

Primary practice location

21 Highland Ave Ste 16
Newburyport, MA 01950-3873

Mailing address

152 Conant St Ste 200
Beverly, MA 01915-1659
Phone (978) 922-2226

Other practice location 1

152 Conant St Ste 200
Beverly, MA 01915-1659
Phone (978) 922-2226

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alexandria.habecker.1@21341.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20161104001562 MA Practitioner - Physician Assistant 6103104526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NS Neurology and Emg PastSince Apr 20, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alexandria.habecker.1@21341.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1700233608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 CONANT ST STE 200",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151659",
            "telephone_number": "978-922-2226",
            "fax_number": "978-922-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HIGHLAND AVE STE 16",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503873",
            "telephone_number": "978-922-2226",
            "fax_number": "978-922-2269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "152 Conant St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019151659",
            "country_code": "US",
            "telephone_number": "978-922-2226",
            "fax_number": "978-922-2269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABECKER",
        "first_name": "ALEXANDRIA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-20",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alexandria.habecker.1@21341.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "152 Conant St Ste 200",
            "city": "Beverly",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019151659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.