ALEXANDRA LEGGETT KELLY (PA-C) – Physician Assistant, NPI 1649815341

ALEXANDRA LEGGETT KELLY (PA-C) is a healthcare provider. based in Lawrence township, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. C07428 (MD). The NPI Number for ALEXANDRA LEGGETT KELLY (PA-C) is 1649815341

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDRA LEGGETT KELLY (PA-C)
NPI
1649815341
Phone
(713) 409-2725
Address
213 BERWYN PL FL 2
Enumeration Date
18 November 2019
Last Update Date
26 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8886636331
Graduation Year
2019 (7 years ago)
PAC ID
2365873007
Group Practice PAC ID
4880670108
Professional Enrollment ID
I20240717001652
Address ID
TX770981879HO3300XDRXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

3,366 PHYSICIAN ASSISTANT in MD

Provider Addresses for ALEXANDRA LEGGETT KELLY (PA-C)

  • 213 BERWYN PL FL 2

    LAWRENCE TOWNSHIP, NJ 086483607

    Phone: (713) 409-2725

    Type: Mailing

  • 10215 FERNWOOD RD STE 100

    BETHESDA, MD 208171183

    Phone: (301) 493-4440

    Type: Location

  • 8401 Connecticut Ave Ph Suite

    Chevy Chase, MD 208155822

    Phone: (202) 660-0005

    Type: Location

  • 10215 Fernwood Rd Ste 100

    Bethesda, MD 208171183

    Phone: (301) 493-4440

    Type: Location

  • 1775 Tysons Blvd Ste 300

    Mc Lean, VA 221024285

    Phone: (888) 663-6331

    Type: Location

  • 8401 CONNECTICUT AVE

    PH SUITE

    CHEVY CHASE, MD 208155822

    Phone: (713) 409-2725

    Type: Mailing

  • 1700 POST OAK BLVD STE 11501160

    HOUSTON, TX 770563963

    Phone: (415) 658-6791

    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: 2024-07-17

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
I20200512003116IPhysician AssistantDCTBD
I20240717001652IPhysician AssistantTXTBD

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 minutes12058$0
99213Established patient office or other outpatient visit, 20-29 minutes4843$0
99215Established patient office or other outpatient visit, 40-54 minutes2823$0
36415Insertion of needle into vein for collection of blood sample2724$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1919$0
View full utilization report →

Insurance plans in this area (ZIP 08648)

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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: 4880670108View full group profile
NameSpecialtyState
Family PracticeTX
Physician AssistantTX
Family PracticePA
Family PracticeCA
Family PracticeTX
Physician AssistantCA
Nurse PractitionerWI
Nurse PractitionerCA
Family PracticeTX
Family PracticeTX

Reviews

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Frequently asked questions

Can I use this page to confirm ALEXANDRA LEGGETT KELLY (PA-C)'s NPI?
Yes. ALEXANDRA LEGGETT KELLY (PA-C) is listed with NPI 1649815341 in the public NPI dataset.
Does CMS list ALEXANDRA LEGGETT KELLY (PA-C) as active?
Yes — ALEXANDRA LEGGETT KELLY (PA-C) is active in the NPI listing used on this page.
What healthcare role does ALEXANDRA LEGGETT KELLY (PA-C) hold?
Scheduling teams often label ALEXANDRA LEGGETT KELLY (PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does ALEXANDRA LEGGETT KELLY (PA-C) serve?
ALEXANDRA LEGGETT KELLY (PA-C)'s listing highlights Lawrence Township, New Jersey; more addresses can appear in NPPES.
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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