ALEXANDRA MICHELE KUIZENGA (PA-C) – Physician Assistant, NPI 1659846483
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for ALEXANDRA MICHELE KUIZENGA (PA-C)
200 PORTER DR STE 215
SAN RAMON, CA 945831524
Phone: (925) 362-2166
Type: Mailing
1205 E North St
Manteca, CA 953364932
Phone: (209) 823-3111
Type: Location
4000 Dublin Blvd Ste 100
Dublin, CA 945683122
Phone: (925) 556-7320
Type: Location
Broadway, Temescal, Oakland, Alameda County, California, 94609, United States
OAKLAND, CA 946115717
Phone: (510) 238-1200
Type: Location
PO BOX 1986
BENICIA, CA 945104986
Phone: (707) 334-3265
Type: Mailing
1205 E NORTH ST
MANTECA, CA 953364932
Phone: (209) 823-3111
Type: Location
300 PASTEUR DR
STANFORD, CA 943052200
Phone: (650) 723-4000
Type: Mailing
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: 2018-12-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20181206003355 | 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 |
|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | 151 | 31 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 79 | 32 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 53 | 52 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 43 | 43 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 21 | 12 | $0 |
Insurance plans in this area (ZIP 94583)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| - | CA | |
| - | CA | |
| - | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Hematology, Medical Oncology | NY | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Neuropsychiatry, Neurology | CA |
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