Individual provider Active NPI

Abigail McKenna Alexander, PA

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1730875501
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19377 Issued in TX
Practice address
1248 Austin Hwy Ste 214
San Antonio, TX 78209-4867
Phone
(210) 828-2531
Fax
(210) 828-2532
NPI assigned
Apr 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 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 PA19377 TX Primary

Addresses

Primary practice location

1248 Austin Hwy Ste 214
San Antonio, TX 78209-4867

Mailing address

2961 Mossrock
San Antonio, TX 78230-5119
Phone (210) 731-4800

Other practice location 1

251 N Main St
Cedarville, OH 45314-8564
Phone (708) 200-3067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250808004281 TX Practitioner - Physician Assistant 5890293823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Primecare, IncGroup PAC ID 8628073236, 70 clinicians

Practice addresses (Care Compare)

1248 Austin Hwy
Suite 214
San Antonio, TX 78209-4867
Phone (210) 828-2531

1910 S New Braunfels
San Antonio, TX 78210-5220
Phone (210) 532-0891

810 S E Military Dr
Physician Primecare Val Verde
San Antonio, TX 78214-2823
Phone (210) 921-4200

8542 Wurzbach Rd
San Antonio, TX 78240-1241

8906 Perrin Beitel Rd
San Antonio, TX 78217-4851
Phone (210) 572-3306

911 Castroville Rd
San Antonio, TX 78237-3146
Phone (210) 436-7402

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cedarville University PastSince Apr 1, 2023 Accepting new patients
Cedarville University EMS PastSince Apr 1, 2023 Accepting new patients
Llano Regional Hospital Physician Assistant PastSince Aug 3, 2025 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1730875501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2961 MOSSROCK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305119",
            "telephone_number": "210-731-4800",
            "fax_number": "210-731-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 AUSTIN HWY STE 214",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782094867",
            "telephone_number": "210-828-2531",
            "fax_number": "210-828-2532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 N Main St",
            "address_purpose": "LOCATION",
            "city": "Cedarville",
            "state": "OH",
            "postal_code": "453148564",
            "country_code": "US",
            "telephone_number": "708-200-3067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "ABIGAIL",
        "middle_name": "MCKENNA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-14",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA19377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.