ALEXIS MALLON PA-C
NPI 1366336133
Physician Assistant in Tampa, FL

Active since June 05, 2025PECOS EnrolledAccepts Medicare Assignment
8702 HUNTERS LAKE DR STE 100, TAMPA, FL 33647(813) 467-4700 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 26, 2026, Jun 5, 2025 (2 updates tracked since 2025).

About Alexis Mallon Pa-c NPPES

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

ALEXIS MALLON PA-C (NPI 1366336133) is an individual physician assistant in Tampa, Florida, licensed in Florida (PA9121191) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1366336133
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALEXIS MALLONCredential: PA-C
Location Address8702 HUNTERS LAKE DR STE 100Tampa, FL 33647-2855
Mailing Address8702 Hunters Lake Dr Ste 100Tampa, FL 33647-2855 · (813) 467-4700
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 5, 2025
Last NPPES UpdateJanuary 26, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
NPI 1366336133 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 FL · PA9121191
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.

8702 HUNTERS LAKE DR STE 100, Tampa, FL 33647

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

Alexis Mallon 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 ID6901381458
PECOS Enrollment IDI20260401003344
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33647 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 13

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

Internal Medicine
8702 HUNTERS LAKE DR STE 100
TAMPA, FL 33647
Family Medicine
8702 HUNTERS LAKE DR STE 100
TAMPA, FL 33647
Family Medicine
8702 HUNTERS LAKE DR STE 100
TAMPA, FL 33647
Nurse Practitioner (Family)
8702 HUNTERS LAKE DR STE 100
TAMPA, FL 33647
Obstetrics & Gynecology
8702 HUNTERS LAKE DR STE 100
TAMPA, FL 33647
Family Medicine
8702 HUNTERS LAKE DR STE 100
TAMPA, FL 33647
Dermatology
8702 HUNTERS LAKE DR STE 100
TAMPA, FL 33647
Nurse Practitioner (Family)
8702 HUNTERS LAKE DR STE 100
TAMPA, FL 33647

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexis Mallon's NPI number?

The NPI number for Alexis Mallon is 1366336133. It was assigned to this individual provider in the NPPES registry on June 5, 2025.

Where is Alexis Mallon located?

Alexis Mallon practices at 8702 Hunters Lake Dr Ste 100, Tampa, FL 33647. The listed phone number is (813) 467-4700.

What is Alexis Mallon's specialty?

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

Is Alexis Mallon enrolled in Medicare?

Yes. Alexis Mallon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Alexis Mallon was last updated on January 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.