Individual provider Active NPI

Alexandria Hansen, PA-C

  • Physician Assistant
  • Clearwater, FL
National Provider Identifier
1972152320
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9117700 Issued in FL
Practice address
400 Pinellas St Ste 200
Clearwater, FL 33756-3312
Phone
(727) 462-2131
Fax
(727) 266-4914
NPI assigned
Sep 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 106997 IA
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA9117700 FL Primary

Addresses

Primary practice location

400 Pinellas St Ste 200
Clearwater, FL 33756-3312

Mailing address

2995 Drew St
Clearwater, FL 33759-3012
Phone (727) 315-7496

Other practice location 1

1200 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 241-6212

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Alexandria.HansenPAC@direct.mybaycare.org Health Information Exchange (HIE) BayCare Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210726000675 IA Practitioner - Physician Assistant 3072916212 Reassigns benefits to 1 organization
I20240110001625 FL Practitioner - Physician Assistant 3072916212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

2102 Trinity Oaks Blvd
Trinity, FL 34655-4409

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

400 Pinellas St
Clearwater, FL 33756-3312

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9117700FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Hospital Corporation CurrentSince Jul 1, 2021 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Dec 3, 2023 Accepting new patients
Central Iowa Hospital Corporation CurrentSince Jul 1, 2021 Accepting new patients
Baycare Medical Group, Inc. Physician Assistant Past Accepting new patients

Locations

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

2995 Drew St
Clearwater, FL 33759
Phone (727) 315-7496

400 Pinellas St
Ste 200
Clearwater, FL 33756
Phone (727) 462-2131

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

Interoperability endpoints

  • Direct secure messaging: alexandria.hansenpac@direct.mybaycare.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1972152320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 DREW ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337593012",
            "telephone_number": "727-315-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PINELLAS ST STE 200",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563312",
            "telephone_number": "727-462-2131",
            "fax_number": "727-266-4914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503091406",
            "country_code": "US",
            "telephone_number": "515-241-6212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "ALEXANDRIA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "106997",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Alexandria.HansenPAC@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Medical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "400 Pinellas St Ste 200",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337563312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.