MRS. ALISHA ASHURST WALLACE (PA-C) – Medical Physician Assistant, NPI 1487627345
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,285 PHYSICIAN ASSISTANT in WA
Provider Addresses for MRS. ALISHA ASHURST WALLACE (PA-C)
JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER ATTN:MCHK-QS
TRIPER AMC, HI 968595001
Phone: (808) 433-2460
Fax: (808) 433-1558
Type: Mailing
12303 NE 130TH LN STE 450
KIRKLAND, WA 980343032
Phone: (425) 899-6400
Type: Mailing
Tripler Army Medical Center, 1, Jarrett White Road, Moanalua Gardens, Honolulu, Honolulu County, Hawaii, 96859, United States
TRIPLER ARMY MEDICAL CENTER
TRIPLER AMC, HI 968555001
Phone: (808) 433-2460
Fax: (808) 433-1558
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $141.
Total Amount is formed as General ($141) + Research ($0) + Ownership ($0) = $141.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Exeltis, USA Inc. ($43).
Total Amount
$141
General + Research + Ownership
Payments
7
Total payment records
General Amount
$141
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exeltis, USA Inc. | $43 |
| Amgen Inc. | $30 |
| Aspira Women's Health Inc | $30 |
| CooperSurgical, Inc. | $19 |
| Bayer Healthcare Pharmaceuticals Inc. | $18 |
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: 2025-10-10
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 |
|---|---|---|---|---|
| I20060103000630 | I | Physician Assistant | HI | TBD |
| I20251010001616 | I | Physician Assistant | WA | 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 96859)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | WA | |
| - | WA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | WA | |
| Physician Assistant | WY | |
| - | WA | |
| Nurse Practitioner | WA | |
| Physician Assistant | WV | |
| Family Practice | VT | |
| - | WA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.