MS. ALEXANDRIA CLUM (PA-C) – Physician Assistant, NPI 1174045850

MS. ALEXANDRIA CLUM (PA-C) is a healthcare provider. based in Wyoming, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601008258 (MI). The NPI Number for MS. ALEXANDRIA CLUM (PA-C) is 1174045850

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MS. ALEXANDRIA CLUM (PA-C)
NPI
1174045850
Phone
(616) 252-3243
Address
5900 BYRON CENTER AVE SW
Enumeration Date
13 July 2017
Last Update Date
8 December 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
6608148358
Group Practice PAC ID
0941513303
Professional Enrollment ID
I20170816001102
Address ID
MI495463808GR5060XSEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

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Provider Addresses for MS. ALEXANDRIA CLUM (PA-C)

  • Metro Health Hospital, 5900, Byron Center Avenue Southwest, Wyoming, Kent County, Michigan, 49519, United States

    MEDICAL ADMINISTRATION

    WYOMING, MI 495199606

    Phone: (616) 252-3243

    Fax: (616) 252-0260

    Type: Mailing

  • West Main Street, Lowell, Washington County, Ohio, 45744, United States

    LOWELL, MI 493318695

    Phone: (616) 252-5600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $507.

Total Amount is formed as General ($507) + Research ($0) + Ownership ($0) = $507.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($249).

Total Amount

$507

General + Research + Ownership

Payments

9

Total payment records

General Amount

$507

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2017-08-16

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
I20170816001102IPhysician AssistantMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes8472$0
99213Established patient office or other outpatient visit, 20-29 minutes4745$0
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit1717$0
View full utilization report →

Insurance plans in this area (ZIP 49519)

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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: 0941513303View full group profile
NameSpecialtyState
Physician AssistantMI
Sports MedicineMI
Sports Medicine, Family PracticeMI
Physician AssistantMI
Physician AssistantIL
Nurse PractitionerMI
N E U R O S U R G E R YIL
Physician AssistantMI
Internal MedicineMI
Physician AssistantMI

Reviews

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Frequently asked questions

Is MS. ALEXANDRIA CLUM (PA-C) listed with a National Provider Identifier?
Yes — MS. ALEXANDRIA CLUM (PA-C) has NPI 1174045850 on file in the registry.
Is MS. ALEXANDRIA CLUM (PA-C) still an active registrant?
MS. ALEXANDRIA CLUM (PA-C) carries an active NPI according to the public dataset.
What kind of doctor is MS. ALEXANDRIA CLUM (PA-C)?
MS. ALEXANDRIA CLUM (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MS. ALEXANDRIA CLUM (PA-C)?
Directory geography for MS. ALEXANDRIA CLUM (PA-C) centers on Wyoming, Michigan.
Can I trust this NPI listing for MS. ALEXANDRIA CLUM (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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