Individual provider Active NPI

Alisa A Cross, MD

  • Psychiatry Physician
  • Killeen, TX
National Provider Identifier
1992886840
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
P2109 Issued in TX
Practice address
3816 S Clear Creek Rd
Sute B
Killeen, TX 76549-4400
Phone
(254) 220-4474
Fax
(254) 300-9939
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A55002 CA
Psychiatry Physician 2084P0800X P2109 TX Primary

Addresses

Primary practice location

3816 S Clear Creek Rd
Sute B
Killeen, TX 76549-4400

Mailing address

3816 Clear Creek Rd Ste B
Killeen, TX 76549-4401
Phone (254) 220-4474

Other practice location 1

6404 Wilshire Blvd Ste 725
Los Angeles, CA 90048-5525
Phone (254) 220-4474

Other identifiers 1

IdentifierTypeStateIssuer
00A550021MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131211000962 TX Practitioner - Psychiatry 1557415361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Loma Linda University School of Medicine, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3816 S Clear Creek Rd
Suite B
Killeen, TX 76549-4401
Phone (254) 220-4474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A55002CAMDPsychiatry Physician
P2109TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alisa a Cross MD PA Psychiatry CurrentSince May 6, 2016 Accepting new patients
Pacific Clinics Past Accepting new patients
Pacific Clinics Past Accepting new patients

Locations

3816 Clear Creek Rd
Ste B
Killeen, TX 76549
Phone (254) 220-4474

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1992886840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 CLEAR CREEK RD STE B",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494401",
            "telephone_number": "254-220-4474",
            "fax_number": "254-220-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 S CLEAR CREEK RD",
            "address_2": "SUTE B",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494400",
            "telephone_number": "254-220-4474",
            "fax_number": "254-300-9939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6404 Wilshire Blvd Ste 725",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900485525",
            "country_code": "US",
            "telephone_number": "254-220-4474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSS",
        "first_name": "ALISA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A55002",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P2109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A550021",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.