ALEXANDRA HELOISE GODFREY (PA-C) – Physician Assistant, NPI 1003136136
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for ALEXANDRA HELOISE GODFREY (PA-C)
19460 SCENIC HARBOUR DR
NORTHVILLE, MI 481671907
Phone: (248) 735-0201
Mailing address matches the actual address.
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.
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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: 2014-12-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (892 days ago).
Enrollment records
1
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20141209000965 | I | Physician Assistant | NC | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 73 | 71 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 43 | 43 | $0 |
Insurance plans in this area (ZIP 48167)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NC | |
| H E M A T O L O G Y/ O N C O L O G Y | PA | |
| - | NC | |
| P O D I A T R Y | NC | |
| - | NC | |
| A N E S T H E S I O L O G Y | MI | |
| - | NC | |
| H O S P I T A L I S T | NC | |
| Orthopedic Surgery | TX | |
| Physician Assistant | NC |
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