Individual provider Active NPI

Alexis Marie McCann, PA-C

  • Physician Assistant
  • Flint, MI
National Provider Identifier
1962984948
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601008806 Issued in MI
Practice address
1085 S Linden Rd Ste 150
Flint, MI 48532-3430
Phone
(810) 262-2100
NPI assigned
Sep 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 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 5601008806 MI Primary

Addresses

Primary practice location

1085 S Linden Rd Ste 150
Flint, MI 48532-3430

Mailing address

8090 McCarty Rd
Saginaw, MI 48603-9618

Other practice location 1

2830 Corunna Rd
Flint, MI 48503-3254
Phone (810) 235-6812

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address atruscott79800@direct.hurleymc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20181211002989 MI Practitioner - Physician Assistant 4082958400 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hurley Medical CenterGroup PAC ID 2961308481, shared by 10 NPIs, 336 clinicians
Pure Psychiatry of Michigan PLLCGroup PAC ID 1254741283, 102 clinicians

Practice addresses (Care Compare)

1 Hurley Plasa
9W Hurley Maternal Fetal Medicine
Flint, MI 48503-5902
Phone (810) 262-4787

1 Hurley PLZ
Flint, MI 48503-5902

1429 Flushing Rd
Suite B
Flushing, MI 48433-2228
Phone (810) 380-5060

2422 Jolly Rd
Suite 100a
Okemos, MI 48864-3690
Phone (517) 853-1358

G 1125 S Linden Rd
100 Hurley Vascular Surgery Group
Flint, MI 48532-4073
Phone (810) 262-6555

Merit-based Incentive Payment System (MIPS)

Final score
92.4 of 100Reported as group
Quality
66.97
Promoting interoperability
100
Improvement activities
40
Cost
75.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601008806MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Medical Center Physician Assistant CurrentSince Nov 3, 2018 Accepting new patients
Hurley Medical Center Current Accepting new patients
Hurley Medical Center CurrentSince Nov 3, 2018 Accepting new patients
Hurley Medical Center CurrentSince Nov 3, 2018 Accepting new patients
Rooted in Love, LLC Physician Assistant CurrentSince Nov 6, 2022 Accepting new patients
Alternative Community Living, Inc. PastSince Sep 24, 2023 Accepting new patients

Locations

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

1085 S Linden Rd
Ste 150
Flint, MI 48532
Phone (810) 262-2100

1429 Flushing Rd
#B
Flushing, MI 48433
Phone (810) 380-5060

2029 S Elms Rd
Ste 101
Swartz Creek, MI 48473
Phone (810) 285-8429

2029 S Elms Rd
Swartz Creek, MI 48473
Phone (810) 285-8429

Interoperability endpoints

  • Direct secure messaging: atruscott79800@direct.hurleymc.com
  • Direct secure messaging: purepsychiatryofmichigan.alexismcann@153418.advancedmd-direct.com

Organizations & group practices 8

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": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1962984948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8090 MCCARTY RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486039618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 S LINDEN RD STE 150",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323430",
            "telephone_number": "810-262-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2830 Corunna Rd",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485033254",
            "country_code": "US",
            "telephone_number": "810-235-6812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "ALEXIS",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "atruscott79800@direct.hurleymc.com",
            "affiliation": "N",
            "address_1": "1085 S Linden Rd Ste 150",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485323430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.