ALEXIS ANN HEATON (PA-C) – Physician Assistant, NPI 1205512860

ALEXIS ANN HEATON (PA-C) is a healthcare provider. based in Bellevue, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 3233 (NE). The NPI Number for ALEXIS ANN HEATON (PA-C) is 1205512860

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
ALEXIS ANN HEATON (PA-C)
NPI
1205512860
Phone
(402) 592-2055
Address
3503 SAMSON WAY STE 108
Enumeration Date
27 June 2023
Last Update Date
12 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4028734242
Graduation Year
2024 (2 years ago)
PAC ID
2466973391
Group Practice PAC ID
7113831926
Professional Enrollment ID
I20250308000276
Address ID
NE684103320NE1301XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

1,397 PHYSICIAN ASSISTANT in NE

Provider Addresses for ALEXIS ANN HEATON (PA-C)

  • 3503 SAMSON WAY STE 108

    BELLEVUE, NE 681234303

    Phone: (402) 592-2055

    Fax: (402) 592-2419

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-10-11 • Largest payer in this snapshot: CSL Behring ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CSL Behring$17
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: 2025-03-08

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
I20250308000276IPhysician AssistantNETBD

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 68123)

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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: 7113831926View full group profile
NameSpecialtyState
Family PracticeNE
Physician AssistantNE
Family PracticeNE
Physician AssistantNE
Family PracticeNE
Physician AssistantNE
Certified Registered Nurse Anesthetist (Crna)NE
Hospitalist, Internal MedicineNE
Family PracticeNE
Nurse PractitionerNE

Reviews

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Frequently asked questions

Does ALEXIS ANN HEATON (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ALEXIS ANN HEATON (PA-C) uses 1205512860.
Does CMS list ALEXIS ANN HEATON (PA-C) as active?
Yes — ALEXIS ANN HEATON (PA-C) is active in the NPI listing used on this page.
What taxonomy line describes ALEXIS ANN HEATON (PA-C)?
For research purposes, treat ALEXIS ANN HEATON (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is ALEXIS ANN HEATON (PA-C) based?
ALEXIS ANN HEATON (PA-C) is tied to Bellevue, Nebraska in the data we show; additional addresses may exist on the full record.
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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