Individual provider Active NPI

Alexa Grace Augustine, PA-C

  • Surgical Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1831903780
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
10962 Issued in AZ
Practice address
5133 N Central Ave Ste 206
Phoenix, AZ 85012-1438
Phone
(602) 264-0608
NPI assigned
Feb 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 10962 AZ Primary

Addresses

Primary practice location

5133 N Central Ave Ste 206
Phoenix, AZ 85012-1438

Mailing address

5133 N Central Ave
Phoenix, AZ 85012-1438
Phone (602) 264-0608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20250307002406 AZ Practitioner - Physician Assistant 7315468220 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Creighton University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians
Arizona Oncology Associates PCGroup PAC ID 9638067911, 42 clinicians

Practice addresses (Care Compare)

10510 N 92ND St
Scottsdale, AZ 85258-4566

20940 N Tatum Blvd
Suite 125
Phoenix, AZ 85050-7243
Phone (602) 264-0608

3501 N Scottsdale Rd
Suite 246
Scottsdale, AZ 85251-5630
Phone (602) 264-0608

5133 N Central Ave
Suite 206
Phoenix, AZ 85012-1438
Phone (602) 264-0608

6320 W Union Hills Dr
BLDG B Suite 1600
Glendale, AZ 85308-1370
Phone (602) 357-2400

7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Phone (480) 882-6700

7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255-4109
Phone (480) 324-7000

9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (480) 323-3000

Hospital & facility affiliations

  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
  • Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123
  • St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024
  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10962AZMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Healthcare Corporation CurrentSince Jan 26, 2026 Accepting new patients
Arizona Oncology Associates PC CurrentSince Feb 3, 2025 Accepting new patients
Honorhealth Ambulatory CurrentSince Jan 26, 2026 Accepting new patients

Locations

6320 W Union Hills Dr
Ste 1600
Glendale, AZ 85308
Phone (602) 357-2400

20940 N Tatum Blvd
Ste 125
Phoenix, AZ 85050

5133 N Central Ave
Ste 206
Phoenix, AZ 85012

3330 N 2nd St
Ste 601
Phoenix, AZ 85012
Phone (602) 234-3444

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

3501 N Scottsdale Rd
Ste 246
Scottsdale, AZ 85251
Phone (480) 994-3668

2625 N Craycroft Rd
Ste 20
Tucson, AZ 85712
Phone (520) 324-2409

1845 W Orange Grove Rd
Bldg 1
Tucson, AZ 85704
Phone (520) 420-2875

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBDJCA/Endpoint/JBDJCA

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.

Hospital & facility affiliations 7

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": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1831903780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5133 N CENTRAL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121438",
            "telephone_number": "602-264-0608",
            "fax_number": "602-234-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5133 N CENTRAL AVE STE 206",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121438",
            "telephone_number": "602-264-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTINE",
        "first_name": "ALEXA",
        "middle_name": "GRACE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "10962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.