Individual provider Active NPI

Alexa McNall, PA-C

  • Physician Assistant
  • Salem, OR
National Provider Identifier
1730574708
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PT1524 Issued in AR
Practice address
2973 12TH St SE
Salem, OR 97302-3162
Phone
(503) 567-7100
NPI assigned
Apr 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PT1524 AR Primary
Physician Assistant 363A00000X 175078 OR

Addresses

Primary practice location

2973 12TH St SE
Salem, OR 97302-3162

Mailing address

2973 12TH St SE
Salem, OR 97302-3162
Phone (503) 561-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, MT2 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
I20160223001419 OR Practitioner - Physician Assistant 2860797255 Reassigns benefits to 1 organization
I20230815001037 MT Practitioner - Physician Assistant 2860797255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1233 N 30TH St
Billings, MT 59101-0127
Phone (406) 237-3913

16 N Miles Ave
Suite 101
Hardin, MT 59034-2356
Phone (406) 237-8270

2900 12TH Ave N
Suite 204E
Billings, MT 59101-7502
Phone (406) 237-5001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Physician Assistant

State licenses

LicenseStateTypeSpecialty
021721NYMDOccupational Therapist
PT1524ARMDPhysician Assistant
175078ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings LLC CurrentSince Aug 2, 2023 Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Aug 2, 2023 Accepting new patients
Willamette Urology PC CurrentSince Jan 25, 2016 Accepting new patients
Bend Memorial Clinic PC CurrentSince Apr 8, 2019 Accepting new patients
Bend Memorial Clinic PC Physician Assistant CurrentSince Apr 8, 2019 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
SCL Health Medical Group - Billings LLC Past Accepting new patients

Locations

2900 12th Ave N
Ste 160W
Billings, MT 59101
Phone (406) 237-7999

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354

2973 12th St SE
Salem, OR 97302
Phone (503) 561-7100

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 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": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1730574708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2973 12TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973023162",
            "telephone_number": "503-561-7100",
            "fax_number": "503-561-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2973 12TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973023162",
            "telephone_number": "503-567-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNALL",
        "first_name": "ALEXA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PT1524",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "175078",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.