RAVEN ALEXYS COE (MPAS, PA-C) – Physician Assistant, NPI 1639814577

RAVEN ALEXYS COE (MPAS, PA-C) is a healthcare provider. based in St petersburg, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MPAS, PA-C. They hold a License No. PAT9115879 (FL). The NPI Number for RAVEN ALEXYS COE (MPAS, PA-C) is 1639814577

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
RAVEN ALEXYS COE (MPAS, PA-C)
NPI
1639814577
Phone
(954) 599-5379
Address
222 SW LINCOLN CIR N
Enumeration Date
4 May 2022
Last Update Date
4 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8136073600
Graduation Year
2022 (4 years ago)
PAC ID
9830554666
Group Practice PAC ID
4880070556
Professional Enrollment ID
I20230501003082
Address ID
FL335487903LU3840XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for RAVEN ALEXYS COE (MPAS, PA-C)

  • 222 SW LINCOLN CIR N

    ST PETERSBURG, FL 337031311

    Phone: (954) 599-5379

    Type: Mailing

  • 4018 HIGHVIEW RD

    SEFFNER, FL 335845202

    Phone: (813) 651-4100

    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: 2023-05-01

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
I20230501003082IPhysician AssistantFLTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes50381$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes10568$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6059$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes2721$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 33703)

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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: 4880070556View full group profile
NameSpecialtyState
Physician AssistantFL
A N E S T H E S I O L O G YFL
Nurse PractitionerFL
Nurse PractitionerFL
Physician AssistantFL
Pain ManagementFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Does RAVEN ALEXYS COE (MPAS, PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — RAVEN ALEXYS COE (MPAS, PA-C) uses 1639814577.
Is RAVEN ALEXYS COE (MPAS, PA-C) still practicing?
RAVEN ALEXYS COE (MPAS, PA-C) is currently listed as active in the public NPI registry.
What is RAVEN ALEXYS COE (MPAS, PA-C)'s primary classification?
Physician Assistant is the headline specialty for RAVEN ALEXYS COE (MPAS, PA-C) here. Clinical services aligned with this taxonomy classification.
Where should I expect RAVEN ALEXYS COE (MPAS, PA-C) on a map?
Expect St Petersburg, Florida as a primary anchor for RAVEN ALEXYS COE (MPAS, PA-C) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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