ALEXIS ALICIA HERNANDEZ (PA-C) – Physician Assistant, NPI 1114506094
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for ALEXIS ALICIA HERNANDEZ (PA-C)
1 FORD PL STE 3A
DETROIT, MI 482023450
Phone: (313) 874-4806
Type: Mailing
2070 BIDDLE AVE
WYANDOTTE, MI 481924080
Phone: (734) 246-6000
Type: Location
9323 Park Ave
Allen Park, MI 481011593
Phone: (313) 570-3045
Type: Location
14671 Telegraph Rd
Redford, MI 482393300
Phone: (313) 948-3030
Type: Location
9323 PARK AVE
ALLEN PARK, MI 481011593
Phone: (313) 570-3045
Type: Mailing
14671 TELEGRAPH RD
REDFORD, MI 482393300
Phone: (313) 948-3030
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: 2021-06-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210603002388 | I | Physician Assistant | MI | 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 48202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Physician Assistant | NY | |
| Pulmonary Disease, Critical Care (Intensivists) | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Physician Assistant | MI |
Reviews
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