ALEXANDRA JEAN VASOS (PA-C) – Physician Assistant, NPI 1033747753

ALEXANDRA JEAN VASOS (PA-C) is a healthcare provider. based in Crown point, Indiana. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for ALEXANDRA JEAN VASOS (PA-C) is 1033747753

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDRA JEAN VASOS (PA-C)
NPI
1033747753
Phone
Not provided
Address
7221 E 107TH CT
Enumeration Date
29 March 2020
Last Update Date
1 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6022584788
Graduation Year
2020 (6 years ago)
PAC ID
9931514155
Group Practice PAC ID
4880585603
Professional Enrollment ID
I20210222002522
Address ID
AZ850041254PH370XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:6State licenses:0Digital endpointsOther names

2,499 PHYSICIAN ASSISTANT in IN

Provider Addresses for ALEXANDRA JEAN VASOS (PA-C)

  • 7221 E 107TH CT

    CROWN POINT, IN 463077602

    Phone:

    Type: Mailing

  • 18444 N 25TH AVE STE 310

    PHOENIX, AZ 850231266

    Phone: (866) 974-2673

    Fax: (866) 939-2673

    Type: Mailing

  • 18444 N 25TH AVE STE 210

    PHOENIX, AZ 850231264

    Phone: (866) 974-2673

    Fax: (866) 939-2673

    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: 2021-02-22

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
I20210222002522IPhysician AssistantAZTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46307)

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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: 4880585603View full group profile
NameSpecialtyState
Orthopedic Surgery, Hand SurgeryAZ
Occupational Therapist In Private PracticeSC
Orthopedic Surgery, Hand SurgeryCA
Plastic And Reconstructive Surgery, Hand SurgeryAZ
Physician AssistantAZ
Physician AssistantAZ
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeAZ
-AZ
Plastic And Reconstructive Surgery, Hand SurgeryAZ

Reviews

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Frequently asked questions

How do I look up ALEXANDRA JEAN VASOS (PA-C) by NPI?
Use NPI 1033747753 when you need to reference ALEXANDRA JEAN VASOS (PA-C) in forms, claims, or directories.
Does this profile mean ALEXANDRA JEAN VASOS (PA-C) is currently active?
Yes — ALEXANDRA JEAN VASOS (PA-C) appears active in the national provider directory.
What does ALEXANDRA JEAN VASOS (PA-C) treat or focus on?
Patients typically see ALEXANDRA JEAN VASOS (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Does ALEXANDRA JEAN VASOS (PA-C) practice in Indiana?
You will see Crown Point, Indiana on file for ALEXANDRA JEAN VASOS (PA-C) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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