Active NPI
Alessandra Andren, PA-C
- Physician Assistant
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA15872
- Practice address
- 4411 Medical Dr Ste 300
San Antonio, TX 78229-3824 - Phone
- (210) 614-5400
- NPI assigned
- Jul 11, 2022
- Last updated
- Jul 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA15872 | TX | Primary |
Addresses
Primary practice location
4411 Medical Dr Ste 300
San Antonio, TX 78229-3824
Mailing address
4411 Medical Dr Ste 300
San Antonio, TX 78229-3824
Other names 1
- Ally Russo
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9635 Huebner Rd
San Antonio, TX 78240-1512
Phone (210) 692-1181
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.32 of 100
- Quality
- 75.23
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 76.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA15872 | TX | MD | 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.
-
- Plastic and Reconstructive Surgery Physician
- San Antonio, TX
- NPI 1063405504
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Methodist Hospital Stone Oak
- General Acute Care Hospital
- San Antonio, TX
- NPI 1659525236
-
dba Methodist Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
dba Metropolitan Methodist Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
-
dba Methodist Specialty and Transplant Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1922732643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4411 MEDICAL DR STE 300",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4411 MEDICAL DR STE 300",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293824",
"telephone_number": "210-614-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREN",
"first_name": "ALESSANDRA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-11",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA15872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALLY",
"last_name": "RUSSO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Antonio, TX
- Andrea Johnson LPC, PLLC
- Andrea M. Rodriguez, DDS (Smiles of San Antonio)
- Andrea Zuflacht Ms, LPC & Associates
- Andrea Zuflacht, Ms, LPC & Associates
- Courtney Andrejczak, PMHNP
- Cary Andreo, PT, DPT
- Andrew de la Garza, Jr., DDS, PA
- Andrew L. Whaley, M.D., P.a. (Orthopaedic Surgery and Sports Medicine of San Antonio)
- Andrew W Moore DC PC
- Andrew Weber DMD Ms PLLC (Excel Dental & Implant Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.