Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALEXA BROOKE MULLALLY PA-C
NPI 1295591253
Physician Assistant in Jacksonville, NC

Q: What is Alexa Mullally's NPI number?

The NPI number for Alexa Mullally is 1295591253. It was assigned to this individual provider in the NPPES registry on February 26, 2024.

Q: What is Alexa Mullally'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 Mullally was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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 February 26, 2024PECOS EnrolledAccepts Medicare Assignment

2000 BRABHAM AVE STE 100, JACKSONVILLE, NC 28546(910) 332-3800(910) 251-0421 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 27, 2026, Feb 28, 2025, Jun 18, 2024 (3 updates tracked since 2024).

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About Alexa Brooke Mullally Pa-c NPPES

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

ALEXA BROOKE MULLALLY PA-C (NPI 1295591253) is an individual physician assistant in Jacksonville, North Carolina, licensed in North Carolina (0010-14235) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, is affiliated with Carolina East Medical Center, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2023).

NPPES Registry Identity

NPI1295591253

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameALEXA BROOKE MULLALLYCredential: PA-C

Location Address2000 BRABHAM AVE STE 100Jacksonville, NC 28546-0202

Mailing AddressPo Box 5105Belfast, ME 04915-5100 · (910) 332-3800 · Fax (910) 251-0421

Phone(910) 332-3800

Fax(910) 251-0421

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2023

Enumeration DateFebruary 26, 2024

Last NPPES UpdateJuly 27, 20263 updates tracked since enumeration

NPPES CertifiedJuly 27, 2026

✔ NPI 1295591253 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 · 0010-14235

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.

2000 BRABHAM AVE STE 100, Jacksonville, NC 28546

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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 Brooke Mullally Pa-c 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 ID7719419357

PECOS Enrollment IDI20241021001465

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

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

Carolina East Medical Center

Acute Care Hospitals · New Bern, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340131

Location2000 Neuse BlvdNew Bern, NC 28560 · Craven County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28546 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 10

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

HEATHER KOOPMAN DPT

Physical Therapist