Individual provider Active NPI

Alexandra Marie Mooney, PA-C

  • Physician Assistant
  • North Palm Beach, FL
National Provider Identifier
1750905568
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9112854 Issued in FL
Practice address
328 Northlake Blvd
North Palm Beach, FL 33408-5421
Phone
(561) 626-4878
NPI assigned
Jun 8, 2020
Last updated
Apr 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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 NU
Physician Assistant 363A00000X PA9112854 FL Primary

Addresses

Primary practice location

328 Northlake Blvd
North Palm Beach, FL 33408-5421

Mailing address

328 Northlake Blvd
North Palm Beach, FL 33408-5421
Phone (561) 626-4878

Other names 1

  • Alexandra Marie Craft Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220122000169 FL Practitioner - Physician Assistant 4981026036 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mecnb LLCGroup PAC ID 7911959341, 28 clinicians

Practice addresses (Care Compare)

225 S US Hwy 1
Tequesta, FL 33469-2701
Phone (561) 747-4464

2720 10TH Ave N
Suite 100
Lake Worth, FL 33461-3100
Phone (561) 540-4446

328 Northlake Blvd
North Palm Beach, FL 33408-5421
Phone (561) 626-4878

6515 S Kanner Hwy
Stuart, FL 34997-6330
Phone (772) 463-1123

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mecnb, LLC CurrentSince Jan 15, 2022 Accepting new patients
Mecnb, LLC CurrentSince Jan 15, 2022 Accepting new patients
Treasure Coast Medical Associates CurrentSince Jun 7, 2020 Accepting new patients
Helix Virtual, Inc Past Accepting new patients

Locations

750 S Federal Hwy
Deerfield Beach, FL 33441
Phone (954) 421-8181

3405 NW Federal Hwy
Jensen Beach, FL 34957
Phone (772) 692-8082

328 Northlake Blvd
North Palm Beach, FL 33408
Phone (561) 249-4449

6515 S Kanner Hwy
Stuart, FL 34997
Phone (772) 463-1123

225 S US Highway 1
Tequesta, FL 33469
Phone (561) 747-4464

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1750905568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 NORTHLAKE BLVD",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334085421",
            "telephone_number": "561-626-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 NORTHLAKE BLVD",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334085421",
            "telephone_number": "561-626-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "ALEXANDRA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-08",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9112854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "CRAFT",
            "middle_name": "MARIE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.