Individual ProviderAlexandra Smith-StockerNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address919 E 32nd St, Austin, TX 78705-2703(512) 544-7111PECOS EnrollmentBased on the most recent information from CMS, provider Alexandra Smith-Stocker is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1467159921Provider TypeIndividualFull NameSmith-Stocker, AlexandraGenderFemaleSole ProprietorNoEnumeration Date2/14/2023Last Updated6/27/2025Contact InformationPractice LocationPractice Address919 E 32nd St, Austin, TX 78705-2703Phone(512) 544-7111FaxUnlisted FaxMailing LocationMailing Address1721 W 35th St, Austin, TX 78703-1320PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense95034729CaliforniaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense1101642Texas