ALEXANDRA R. VITALE (PA-C) – Medical Physician Assistant, NPI 1265803738
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,243 PHYSICIAN ASSISTANT in CT
Provider Addresses for ALEXANDRA R. VITALE (PA-C)
25B PILGRIM HBR
WALLINGFORD, CT 064925429
Phone: (203) 232-8976
Type: Mailing
2416 Whitney Ave Fl 1
Hamden, CT 065183248
Phone: (203) 407-3550
Fax: (203) 407-4244
Type: Location
41 Brewster Rd
Bristol, CT 060105161
Phone: (860) 585-3333
Type: Location
2408 WHITNEY AVE
HAMDEN, CT 065183209
Phone: (203) 626-0160
Fax: (203) 294-6734
Type: Mailing
15 RIVERSIDE AVE
BRISTOL, CT 06010
Phone: (860) 585-3333
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $63.
Total Amount is formed as General ($63) + Research ($0) + Ownership ($0) = $63.
Last reported payment date: 2023-12-12 • Largest payer in this snapshot: ABBVIE INC. ($63).
Total Amount
$63
General + Research + Ownership
Payments
2
Total payment records
General Amount
$63
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $63 |
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: 2015-11-24
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 |
|---|---|---|---|---|
| I20151124000849 | I | Physician Assistant | CT | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06492)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | CT | |
| - | CT | |
| Interventional Pain Management | CT | |
| - | CT | |
| - | CT | |
| Occupational Therapist In Private Practice | CT | |
| Orthopedic Surgery | CT | |
| - | CT | |
| Physical Therapist In Private Practice | CT | |
| Physical Therapist In Private Practice | CT |
Reviews
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