ALEXANDRA POWELL (PA) – Physician Assistant, NPI 1730607235

ALEXANDRA POWELL (PA) is a healthcare provider. based in Herrin, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 085006472 (IL). The NPI Number for ALEXANDRA POWELL (PA) is 1730607235

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDRA POWELL (PA)
NPI
1730607235
Phone
(618) 942-2171
Address
201 S 14th St
Enumeration Date
5 September 2017
Last Update Date
16 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
4183998479
Group Practice PAC ID
9931007929
Professional Enrollment ID
I20170926001386
Address ID
MO637035049CA24XXXRDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:8State licenses:3Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for ALEXANDRA POWELL (PA)

  • 201 S 14th St

    Herrin, IL 629483631

    Phone: (618) 942-2171

    Fax: (618) 988-6186

    Type: Location

  • 2 S Hospital Dr

    Murphysboro, IL 629663333

    Phone: (618) 684-3156

    Fax: (618) 529-0524

    Type: Location

  • 405 W Jackson St

    Carbondale, IL 629011462

    Phone: (618) 549-0721

    Fax: (618) 457-0469

    Type: Location

  • PO BOX 801143

    KANSAS CITY, MO 641801143

    Phone: (573) 331-3000

    Fax: (573) 331-5073

    Type: Mailing

  • 3250 GORDONVILLE RD STE 358

    CAPE GIRARDEAU, MO 637035095

    Phone: (573) 331-3155

    Fax: (573) 331-5096

    Type: Location

  • 1982, Longview Drive, Cape Girardeau, Cape Girardeau County, Missouri, 63701, United States

    CAPE GIRARDEAU, MO 637012397

    Phone:

    Type: Mailing

  • Memorial Hospital of Carbondale, 405, West Jackson Street, Carbondale, Jackson County, Illinois, 62902, United States

    CARBONDALE, IL 629011462

    Phone: (618) 549-0721

    Fax: (618) 457-0469

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $949.

Total Amount is formed as General ($949) + Research ($0) + Ownership ($0) = $949.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($702).

Total Amount

$949

General + Research + Ownership

Payments

15

Total payment records

General Amount

$949

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-04-11

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170926001386IPhysician AssistantMOTBD
I20180411002392IPhysician AssistantILTBD

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
33533Coronary artery bypass using artery graft, 1 graft1515$0
99214Established patient office or other outpatient visit, 30-39 minutes1515$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 62948)

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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: 9931007929View full group profile
NameSpecialtyState
-MO
-MO
-MO
O B S T E T R I C S/ G Y N E C O L O G YMO
Nurse PractitionerMO
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineMO
General SurgeryMO
Nurse PractitionerMO
-MO
-MO

Reviews

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Frequently asked questions

What is ALEXANDRA POWELL (PA)'s NPI number?
ALEXANDRA POWELL (PA)'s NPI is 1730607235 — the number used across U.S. healthcare to identify this provider.
Would ALEXANDRA POWELL (PA) appear as active to a payer?
You can treat ALEXANDRA POWELL (PA) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is ALEXANDRA POWELL (PA)?
ALEXANDRA POWELL (PA) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Where in Illinois is ALEXANDRA POWELL (PA) registered?
Use Herrin, Illinois as the headline location for ALEXANDRA POWELL (PA) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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