ALEXANDRA MARY HENCKEN (PA-C) – Physician Assistant, NPI 1053079715

ALEXANDRA MARY HENCKEN (PA-C) is a healthcare provider. based in Las vegas, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for ALEXANDRA MARY HENCKEN (PA-C) is 1053079715

Main info

Female
5 Years Of Experience
Name
ALEXANDRA MARY HENCKEN (PA-C)
NPI
1053079715
Phone
(408) 677-6786
Address
3185 STRAWBERRY PARK DR
Enumeration Date
30 November 2021
Last Update Date
21 June 2023

Doctor Profile

Medical School Name
TOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Secondary Phone
7027598600
Graduation Year
2021 (5 years ago)
PAC ID
2769823129
Group Practice PAC ID
5890955959
Professional Enrollment ID
I20240516000646
Address ID
NV891383004LA404XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

Provider Addresses for ALEXANDRA MARY HENCKEN (PA-C)

  • 3185 STRAWBERRY PARK DR

    LAS VEGAS, NV 891203163

    Phone: (408) 677-6786

    Type: Mailing

  • 2150 S EASTERN AVE

    LAS VEGAS, NV 891044109

    Phone: (702) 641-2150

    Type: Location

  • 7180 CASCADE VALLEY CT STE 180

    LAS VEGAS, NV 891281407

    Phone: (702) 641-2150

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $223.

Total Amount is formed as General ($223) + Research ($0) + Ownership ($0) = $223.

Last reported payment date: 2024-01-29 • Largest payer in this snapshot: PFIZER INC. ($158).

Total Amount

$223

General + Research + Ownership

Payments

7

Total payment records

General Amount

$223

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-29

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: 2026-02-10

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
I20240516000646IPhysician AssistantNVTBD
I20260210002383IPhysician AssistantCATBD

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 89120)

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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: 5890955959View full group profile
NameSpecialtyState
Physician AssistantNV
Diagnostic RadiologyNV
-NV
Diagnostic Radiology, Interventional RadiologyID
Diagnostic RadiologyON
-MN
Diagnostic RadiologyNV
Diagnostic RadiologyNV
-OR
Diagnostic RadiologyNV

Reviews

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Frequently asked questions

What number should I use to identify ALEXANDRA MARY HENCKEN (PA-C) for billing?
Administrative and clinical systems typically use NPI 1053079715 for ALEXANDRA MARY HENCKEN (PA-C).
Should I treat ALEXANDRA MARY HENCKEN (PA-C) as an active provider?
Patients and plans typically see ALEXANDRA MARY HENCKEN (PA-C) as active in the national extract.
What does the directory say ALEXANDRA MARY HENCKEN (PA-C) does?
Insurance directories may phrase it differently, but here ALEXANDRA MARY HENCKEN (PA-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is ALEXANDRA MARY HENCKEN (PA-C) tied to Las Vegas, Nevada?
If you are local to Las Vegas, Nevada, ALEXANDRA MARY HENCKEN (PA-C) may be relevant to your search.
Who maintains ALEXANDRA MARY HENCKEN (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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