DEBORAH L. ALDRIDGE (P.A.) – Physician Assistant, NPI 1104830652

DEBORAH L. ALDRIDGE (P.A.) is a healthcare provider. based in Olathe, Kansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 15-00612 (KS). The NPI Number for DEBORAH L. ALDRIDGE (P.A.) is 1104830652

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DEBORAH L. ALDRIDGE (P.A.)
NPI
1104830652
Phone
(913) 829-0505
Address
1803 S RIDGEVIEW RD
Enumeration Date
28 July 2006
Last Update Date
4 January 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9138290505
Graduation Year
1997 (29 years ago)
PAC ID
4486846136
Group Practice PAC ID
9234318502
Professional Enrollment ID
I20101013000301
Address ID
KS660622376OL1803XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,303 PHYSICIAN ASSISTANT in KS

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Provider Addresses for DEBORAH L. ALDRIDGE (P.A.)

  • 1803, South Ridgeview Road, Olathe, Johnson County, Kansas, 66062, United States

    OLATHE, KS 660622376

    Phone: (913) 829-0505

    Fax: (913) 338-1311

    Type: Location

  • Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States

    ATLANTA, GA 303741331

    Phone: (913) 469-0503

    Fax: (913) 469-5267

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $652.

Total Amount is formed as General ($652) + Research ($0) + Ownership ($0) = $652.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Novo Nordisk Inc ($167).

Total Amount

$652

General + Research + Ownership

Payments

37

Total payment records

General Amount

$652

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

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: 2010-10-13

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
I20101013000301IPhysician AssistantKSTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes5945$0
99214Established patient office or other outpatient visit, 30-39 minutes5434$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4141$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage1312$0
G0008Administration of influenza virus vaccine1312$0
View full utilization report →

Insurance plans in this area (ZIP 66062)

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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: 9234318502View full group profile
NameSpecialtyState
-KS
-CO
Family Practice, AnesthesiologyGA
General SurgeryMO
Physician AssistantGA
Physician AssistantGA
-GA
O B S T E T R I C S/ G Y N E C O L O G YKS
Family PracticeGA
Certified Registered Nurse Anesthetist (Crna)MO

Reviews

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Frequently asked questions

What is the 10-digit NPI for DEBORAH L. ALDRIDGE (P.A.)?
DEBORAH L. ALDRIDGE (P.A.) — NPI 1104830652 — is the standard way to identify this listing.
Does the file indicate DEBORAH L. ALDRIDGE (P.A.) is practicing under active NPI?
Directory data currently reports DEBORAH L. ALDRIDGE (P.A.) as active.
What taxonomy line describes DEBORAH L. ALDRIDGE (P.A.)?
For research purposes, treat DEBORAH L. ALDRIDGE (P.A.) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Does DEBORAH L. ALDRIDGE (P.A.) list a practice location?
Patients near Olathe, Kansas may find DEBORAH L. ALDRIDGE (P.A.) in results; validate coverage separately.
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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