Individual provider Active NPI

Alexa Renee Wingo, PA-C

  • Physician Assistant
  • Amarillo, TX
National Provider Identifier
1992316202
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13750 Issued in TX
Practice address
1600 S Coulter St Ste 501
Amarillo, TX 79106-0702
Phone
(806) 418-2548
Fax
(806) 367-6307
NPI assigned
Aug 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA13750 TX
Physician Assistant 363A00000X PA13750 TX Primary

Addresses

Primary practice location

1600 S Coulter St Ste 501
Amarillo, TX 79106-0702

Mailing address

1600 S Coulter St Ste 501
Amarillo, TX 79106-0702
Phone (806) 418-2548

Other practice location 1

501 Quail Creek Dr
Amarillo, TX 79124
Phone (806) 418-2548

Other identifiers 1

IdentifierTypeStateIssuer
414045101MedicaidTX

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
I20200824001282 TX Practitioner - Physician Assistant 1658798541 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of North Texas HSC, College of Osteopathic Med, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Top of Texas Orthopedics PLLCGroup PAC ID 1658802152, 6 clinicians
Tyler N Cooper MD PAGroup PAC ID 2062820426, 2 clinicians

Practice addresses (Care Compare)

501 Quail Creek Dr
Amarillo, TX 79124-1621
Phone (806) 418-2548

Hospital & facility affiliations

  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: awingo325432@ahs.direct-ci.com
  • Direct secure messaging: alexa.wingo@24857.chartlogic.direct-ci.com

Organizations & group practices 2

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 1

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": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1992316202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S COULTER ST STE 501",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791060702",
            "telephone_number": "806-418-2548",
            "fax_number": "806-367-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S COULTER ST STE 501",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791060702",
            "telephone_number": "806-418-2548",
            "fax_number": "806-367-6307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Quail Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "79124",
            "country_code": "US",
            "telephone_number": "806-418-2548",
            "fax_number": "806-367-6307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINGO",
        "first_name": "ALEXA",
        "middle_name": "RENEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA13750",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "414045101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.