Active NPI
Alisa A Cross, MD
- Psychiatry Physician
- Killeen, TX
National Provider Identifier
1992886840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- P2109
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A550021 | Medicaid | CA |
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
Enrollment records 1
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A55002 | CA | MD | Psychiatry Physician |
| P2109 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alisa a Cross MD PA | Psychiatry | Current | 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.
-
- Psychiatry Physician
- Killeen, TX
- NPI 1932579455
-
- Community/Behavioral Health Agency
- Irwindale, CA
- NPI 1821495003
-
- Community/Behavioral Health Agency
- Ontario, CA
- NPI 1902273923
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.