Individual provider Active NPI

Alexa Burciaga, MPAS, PA-C

  • Physician Assistant
  • Rowlett, TX
National Provider Identifier
1811747033
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18036 Issued in TX
Practice address
7105 Lakeview Pkwy # 100
Rowlett, TX 75088-4202
Phone
(972) 475-5300
NPI assigned
Mar 22, 2024
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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 PA18036 TX Primary

Addresses

Primary practice location

7105 Lakeview Pkwy # 100
Rowlett, TX 75088-4202

Mailing address

7105 Lakeview Pkwy # 100
Rowlett, TX 75088-4202

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
I20240823002277 TX Practitioner - Physician Assistant 0840739710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Florida International Univ, College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liberty Dermatology, PAGroup PAC ID 5698949725, 3 clinicians

Practice addresses (Care Compare)

7105 Lakeview Pkwy
Suite 100
Rowlett, TX 75088-4202
Phone (972) 475-5300

National Provider Directory

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

Organizations & group practices 1

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": "1711065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1811747033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105 LAKEVIEW PKWY # 100",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 LAKEVIEW PKWY # 100",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884202",
            "telephone_number": "972-475-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCIAGA",
        "first_name": "ALEXA",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowlett, TX

Sources for this page

Verify at the official NPI Registry.