Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexus Carlock, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336896968

Alexus Carlock, PA-C is a Physician Assistant in Merriam, Kansas. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Kansas.

Years since qualifying
3
Licensed in
KS
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9100 W 74th St
Merriam, KS 66204-4004
Phone: (913) 676-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 15-02780 (KS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1336896968
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 3, 2022
Last updated in NPPESNovember 8, 2023
Certification dateNovember 8, 2023
Mailing address9100 W 74th St, Merriam, KS 66204-4004

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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