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MYLISSA BLAYNE ALEXANDER APRN, FNP-C
NPI 1952736811
Nurse Practitioner - Family in Granbury, TX

Active since September 11, 2013PECOS Enrolled
3906 E US HIGHWAY 377, SUITE 100, GRANBURY, TX 76049(817) 279-1390(817) 573-5150 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mylissa Blayne Alexander Aprn, Fnp-c NPPES

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

MYLISSA BLAYNE ALEXANDER APRN, FNP-C (NPI 1952736811) is an individual family provider in Granbury, Texas, licensed in Texas (683870) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952736811
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMYLISSA BLAYNE ALEXANDERCredential: APRN, FNP-C
Location Address3906 E US HIGHWAY 377, SUITE 100Granbury, TX 76049-7608
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-1855 · Fax (682) 885-1396
Phone(817) 279-1390
Fax(817) 573-5150
Sole ProprietorNo
Enumeration DateSeptember 11, 2013
Last NPPES UpdateApril 14, 2021
NPPES CertifiedApril 14, 2021
✔ NPI 1952736811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 683870
3906 E US HIGHWAY 377, Granbury, TX 76049
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mylissa Blayne Alexander Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Mylissa Alexander reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cook Children's Physician Network
30 mi
Developmental - Behavioral Pediatrics
1500 COOPER ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Cook Childrens Physician Network
  • 1,186 clinicians in this Medicare group
NPI 1548230923 (682) 303-9200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76049 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
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

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

DAVID B STEINMANN MD
Pediatrics
3906 E US HIGHWAY 377, STE 110
GRANBURY, TX 76049
Hood County (817) 279-1390

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 Mylissa Alexander's NPI number?

The NPI number for Mylissa Alexander is 1952736811. It was assigned to this individual provider in the NPPES registry on September 11, 2013.

Where is Mylissa Alexander located?

Mylissa Alexander practices at 3906 E Us Highway 377 Suite 100, Granbury, TX 76049. The listed phone number is (817) 279-1390.

What is Mylissa Alexander's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mylissa Alexander enrolled in Medicare?

Yes. Mylissa Alexander is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mylissa Alexander's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mylissa Alexander reassigns Medicare benefits to Cook Children's Physician Network (Fort Worth, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mylissa Alexander's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mylissa Alexander was last updated on April 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.