Individual provider Active NPI

Alexa Botero, PA

  • Physician Assistant
  • Pflugerville, TX
National Provider Identifier
1992571640
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2700 W Pecan St Ste 450
Pflugerville, TX 78660-3154
Phone
(512) 978-9840
NPI assigned
Dec 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 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
Physician Assistant 363A00000X TX Primary

Addresses

Primary practice location

2700 W Pecan St Ste 450
Pflugerville, TX 78660-3154

Mailing address

2700 W Pecan St Ste 450
Pflugerville, TX 78660-3154
Phone (512) 978-9840

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
I20260116001607 TX Practitioner - Physician Assistant 6002257706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Central Texas Community Health CentersGroup PAC ID 5395802151, 165 clinicians

Practice addresses (Care Compare)

1210 W Braker LN
Austin, TX 78758-3801
Phone (512) 978-9800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Community Health Centers CurrentSince Dec 13, 2025 Accepting new patients
Central Texas Community Health Centers CurrentSince Dec 13, 2025 Accepting new patients
Central Texas Community Health Centers Past Accepting new patients

Locations

1210 W Braker Ln
Austin, TX 78758
Phone (512) 978-9300

301 W State Highway 71
Ste 111
Bastrop, TX 78602
Phone (512) 304-0318

2700 W Pecan St
Ste 450
Pflugerville, TX 78660
Phone (512) 978-9213

Organizations & group practices 3

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": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1992571640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W PECAN ST STE 450",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603154",
            "telephone_number": "512-978-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W PECAN ST STE 450",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603154",
            "telephone_number": "512-978-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTERO",
        "first_name": "ALEXA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

Verify at the official NPI Registry.