TIANITA DESHEA ALEXANDER (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1174051775
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
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Provider Addresses for TIANITA DESHEA ALEXANDER (PHYSICIAN ASSISTANT)
Churn Creek Road, Redding, Shasta County, California, 96002, United States
REDDING, CA 960021117
Phone:
Type: Mailing
1742, Oregon Street, Redding, Shasta County, California, 96001, United States
REDDING, CA 96001
Phone: (530) 646-7269
Fax: (530) 737-7681
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-08-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171018000118 | I | Physician Assistant | TX | TBD |
| I20200813000817 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 25 | 14 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 19 | 12 | $0 |
Insurance plans in this area (ZIP 96002)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist | CA | |
| Physician Assistant | NC | |
| Physician Assistant | CA | |
| Nurse Practitioner | TX | |
| Physician Assistant | DE | |
| Marriage And Family Therapist | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Clinical Social Worker | CA | |
| Physician Assistant | CA |
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