ALYSIA WASHINGTON (MD) – Internal Medicine Physician, NPI 1528649522

ALYSIA WASHINGTON (MD) is a healthcare provider. based in Andover, Minnesota. specializing in HOSPITALIST, PEDIATRIC MEDICINE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 78207 (MN). The NPI Number for ALYSIA WASHINGTON (MD) is 1528649522

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
ALYSIA WASHINGTON (MD)
NPI
1528649522
Phone
(855) 324-7843
Address
13819 HANSON BLVD NW
Enumeration Date
20 April 2021
Last Update Date
13 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6512327800
Graduation Year
2021 (5 years ago)
PAC ID
8022417443
Group Practice PAC ID
3971407636
Professional Enrollment ID
I20241205002019
Address ID
MN551091242MA2945XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:5State licenses:2Digital endpointsOther names

691 HOSPITALIST in MN

Provider Addresses for ALYSIA WASHINGTON (MD)

  • 13819 HANSON BLVD NW

    ANDOVER, MN 553047608

    Phone: (855) 324-7843

    Type: Location

  • 420 Delaware St SE

    MMC 913

    Minneapolis, MN 55455

    Phone: (612) 624-0990

    Fax: (612) 625-3238

    Type: Location

  • 251 E Huron St Ste 16-738

    Chicago, IL 606113055

    Phone: (312) 926-5924

    Fax: (312) 926-6134

    Type: Location

  • 420 DELAWARE ST SE

    MMC 913

    MINNEAPOLIS, MN 55455

    Phone: (612) 624-0990

    Fax: (612) 625-3238

    Type: Location

  • 420 DELAWARE STREET SE

    MMC 913

    MINNEAPOLIS, MN 55455

    Phone: (612) 624-0990

    Fax: (612) 625-3238

    Type: Mailing

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: 2025-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20241205002019IInternal MedicineMNTBD
I20250822003130IHospitalistILTBD

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 55304)

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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: 3971407636View full group profile

Reviews

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Frequently asked questions

Is there an official ID for ALYSIA WASHINGTON (MD) in U.S. healthcare records?
The official identifier for ALYSIA WASHINGTON (MD) is NPI 1528649522.
Is there an active status for ALYSIA WASHINGTON (MD)?
For scheduling context, ALYSIA WASHINGTON (MD) is shown as active in the registry.
What expertise is attributed to ALYSIA WASHINGTON (MD)?
ALYSIA WASHINGTON (MD)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is ALYSIA WASHINGTON (MD) associated with Andover?
Public fields place ALYSIA WASHINGTON (MD) around Andover, Minnesota. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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