ALEXA ROSE BUMGARNER
NPI 1205654829
Physician Assistant in North Wilkesboro, NC

Q: What is Alexa Bumgarner's NPI number?

The NPI number for Alexa Bumgarner is 1205654829. It was assigned to this individual provider in the NPPES registry on October 2, 2024.

Q: What is Alexa Bumgarner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Alexa Bumgarner was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 02, 2024PECOS EnrolledAccepts Medicare Assignment

1916 W PARK DR, NORTH WILKESBORO, NC 28659(336) 839-9563 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2026, Oct 2, 2024 (2 updates tracked since 2024).

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About Alexa Rose Bumgarner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXA ROSE BUMGARNER (NPI 1205654829) is an individual physician assistant in North Wilkesboro, North Carolina, licensed in North Carolina (0010-15374) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1205654829

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameALEXA ROSE BUMGARNER

Location Address1916 W PARK DRNorth Wilkesboro, NC 28659-3563

Mailing Address1916 W Park DrNorth Wilkesboro, NC 28659-3563 · (336) 839-9563

Phone(336) 839-9563

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 2, 2024

Last NPPES UpdateMarch 2, 20262 updates tracked since enumeration

NPPES CertifiedMarch 2, 2026

✔ NPI 1205654829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-15374

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1916 W PARK DR, North Wilkesboro, NC 28659

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexa Rose Bumgarner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012409345

PECOS Enrollment IDI20251125000276

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340047

LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County

Emergency services Birthing friendly

Wilkes Regional Medical Center

Acute Care Hospitals · North Wilkesboro, NC

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340064

Location1370 West D StNorth Wilkesboro, NC 28659 · Wilkes County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28659 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAITH-MARIE OAKLEY NP

Nurse Practitioner (Gerontology)