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ALEXIS GUMBLE PA-C
NPI 1659106185
Physician Assistant - Medical in Mc Lean, VA

Active since September 04, 2024PECOS EnrolledAccepts Medicare Assignment
1420 BEVERLY RD, MC LEAN, VA 22101(877) 772-6505 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alexis Gumble Pa-c NPPES

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

ALEXIS GUMBLE PA-C (NPI 1659106185) is an individual medical provider in Mc Lean, Virginia and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1659106185
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameALEXIS GUMBLECredential: PA-C
Location Address1420 BEVERLY RDMc Lean, VA 22101-3732
Mailing AddressPo Box 201Tafton, PA 18464-0201
Phone(877) 772-6505
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 4, 2024
NPPES CertifiedAugust 29, 2024
✔ NPI 1659106185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1420 BEVERLY RD, Mc Lean, VA 22101
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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

Alexis Gumble 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 ID8820524028
PECOS Enrollment IDI20241211003077
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.

Other Providers at the Same Location NPPES 5

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

HASSAN KHURAM MD
Student in an Organized Health Care Education/Training Program
1420 BEVERLY RD
MC LEAN, VA 22101
Fairfax County (703) 852-8588
MEDSTAR MEDICAL GROUP II LLC
General Practice
1420 BEVERLY RD
MC LEAN, VA 22101
Fairfax County (703) 852-8287
MEDSTAR TOTAL ELDER CARE LLC
General Practice
1420 BEVERLY RD
MC LEAN, VA 22101
Fairfax County (703) 852-8287
MADISON RENEE LEMARR DO
Student in an Organized Health Care Education/Training Program
1420 BEVERLY RD
MC LEAN, VA 22101
Fairfax County (703) 852-8588
VINNA PATRICIA SAN JUAN FNP-BC
Nurse Practitioner (Family)
1420 BEVERLY RD
MC LEAN, VA 22101
Fairfax County (202) 295-0540

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 Gumble's NPI number?

The NPI number for Alexis Gumble is 1659106185. It was assigned to this individual provider in the NPPES registry on September 4, 2024.

Where is Alexis Gumble located?

Alexis Gumble practices at 1420 Beverly Rd, Mc Lean, VA 22101. The listed phone number is (877) 772-6505.

What is Alexis Gumble's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Alexis Gumble enrolled in Medicare?

Yes. Alexis Gumble 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 Gumble was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.