ALEXANDRA JANE MCMULLAN (MS, PA-C) – Physician Assistant, NPI 1255870218

ALEXANDRA JANE MCMULLAN (MS, PA-C) is a healthcare provider. based in Flower mound, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MS, PA-C. They hold a License No. PA11161 (TX). The NPI Number for ALEXANDRA JANE MCMULLAN (MS, PA-C) is 1255870218

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDRA JANE MCMULLAN (MS, PA-C)
NPI
1255870218
Phone
(972) 316-4555
Address
4471 LONG PRAIRIE RD STE 100
Enumeration Date
22 February 2017
Last Update Date
13 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9723164555
Graduation Year
2016 (10 years ago)
PAC ID
6901222934
Group Practice PAC ID
5698801702
Professional Enrollment ID
I20200820001591
Address ID
TX750281755FL4471XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for ALEXANDRA JANE MCMULLAN (MS, PA-C)

  • 100, Long Prairie Road, Flower Mound, Tarrant County, Texas, 75022, United States

    FLOWER MOUND, TX 750281755

    Phone: (972) 316-4555

    Fax: (972) 316-4550

    Type: Location

  • 1450 N PRESTON RD STE 60

    PROSPER, TX 750789890

    Phone: (972) 316-4555

    Fax: (469) 802-1548

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 218 Open Payments records for all available years, with a total value of $3,797.

Total Amount is formed as General ($3,797) + Research ($0) + Ownership ($0) = $3,797.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($609).

Total Amount

$3,797

General + Research + Ownership

Payments

218

Total payment records

General Amount

$3,797

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-08-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200820001591IPhysician AssistantTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths33990$0
99213Established patient office or other outpatient visit, 20-29 minutes225186$0
17000Destruction of precancer skin growth, 1 growth171141$0
99214Established patient office or other outpatient visit, 30-39 minutes151112$0
11102Biopsy of related skin growth, first growth125115$0
View full utilization report →

Insurance plans in this area (ZIP 75028)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698801702View full group profile
NameSpecialtyState
Physician AssistantTX
Physician AssistantTX
Nurse PractitionerTX
D E R M A T O L O G YFL
D E R M A T O L O G YTX
-TX
D E R M A T O L O G YTX
Physician AssistantOH
-TX
Physician AssistantTX

Reviews

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Frequently asked questions

Can I use this page to confirm ALEXANDRA JANE MCMULLAN (MS, PA-C)'s NPI?
Yes. ALEXANDRA JANE MCMULLAN (MS, PA-C) is listed with NPI 1255870218 in the public NPI dataset.
Does the file indicate ALEXANDRA JANE MCMULLAN (MS, PA-C) is practicing under active NPI?
Directory data currently reports ALEXANDRA JANE MCMULLAN (MS, PA-C) as active.
What is ALEXANDRA JANE MCMULLAN (MS, PA-C) best known for clinically?
Directory data describes ALEXANDRA JANE MCMULLAN (MS, PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for ALEXANDRA JANE MCMULLAN (MS, PA-C)?
ALEXANDRA JANE MCMULLAN (MS, PA-C)'s geographic hint is Flower Mound, Texas in our summary view.
Is the information about ALEXANDRA JANE MCMULLAN (MS, PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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