Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alissa Bolek Spade, PA-C

Individual provider Physician Assistant · NPI 1073109864

Alissa Bolek Spade, PA-C is a Physician Assistant in Austin, Texas. Qualified in 2019, 7 years ago. Practices with Scott and White Clinic, a 2,429-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2020
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

11673 Jollyville Rd Ste 205
Austin, TX 78759-4211
Phone: (512) 834-9999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA13956 (TX)

Record details

NPI number1073109864
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 15, 2020
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Scott And White Clinic — 2429 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations14 on file with Medicare

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