MRS. ALEXIS GRACE SHAUB (PA) – Medical Physician Assistant, NPI 1013439769

MRS. ALEXIS GRACE SHAUB (PA) is a healthcare provider. based in Trumbull, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 3872 (CT). The NPI Number for MRS. ALEXIS GRACE SHAUB (PA) is 1013439769

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ALEXIS GRACE SHAUB (PA)
NPI
1013439769
Phone
(203) 502-8400
Address
5520 PARK AVE
Enumeration Date
14 July 2017
Last Update Date
25 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2037852140
Graduation Year
2017 (9 years ago)
PAC ID
8820427164
Group Practice PAC ID
9436061736
Professional Enrollment ID
I20200407002503
Address ID
CT065191369NE800XXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,243 PHYSICIAN ASSISTANT in CT

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Provider Addresses for MRS. ALEXIS GRACE SHAUB (PA)

  • 5520, Park Avenue, Trumbull, Fairfield County, Connecticut, 06604, United States

    TRUMBULL, CT 066113463

    Phone: (203) 502-8400

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $100.

Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.

Last reported payment date: 2024-03-20 • Largest payer in this snapshot: Seagen Inc. ($65).

Total Amount

$100

General + Research + Ownership

Payments

4

Total payment records

General Amount

$100

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Seagen Inc.$65
Baxter Healthcare$35
View all Open Payments →|Open Payments Risk Radar →

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: 2020-04-07

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200407002503IPhysician AssistantCTTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes173114$0
99214Established patient office or other outpatient visit, 30-39 minutes4439$0
99215Established patient office or other outpatient visit, 40-54 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 06611)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436061736View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)CT
H E M A T O L O G Y/ O N C O L O G YCT
Internal Medicine, NephrologySC
-CT
-NC
Internal MedicineCT
-CT
Cardiac SurgeryCT
-CT
-CT

Reviews

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Frequently asked questions

How do I look up MRS. ALEXIS GRACE SHAUB (PA) by NPI?
Use NPI 1013439769 when you need to reference MRS. ALEXIS GRACE SHAUB (PA) in forms, claims, or directories.
Is MRS. ALEXIS GRACE SHAUB (PA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MRS. ALEXIS GRACE SHAUB (PA) work in?
You can think of MRS. ALEXIS GRACE SHAUB (PA) as practicing within Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for MRS. ALEXIS GRACE SHAUB (PA)?
We surface Trumbull, Connecticut for MRS. ALEXIS GRACE SHAUB (PA) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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