ALEJANDRO ELLIOTT I COLMENERO (MSPA, PA-C) – Physician Assistant, NPI 1003340613

ALEJANDRO ELLIOTT I COLMENERO (MSPA, PA-C) is a healthcare provider. based in Springfield, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MSPA, PA-C. They hold a License No. PA183504 (OR). The NPI Number for ALEJANDRO ELLIOTT I COLMENERO (MSPA, PA-C) is 1003340613

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
ALEJANDRO ELLIOTT I COLMENERO (MSPA, PA-C)
NPI
1003340613
Phone
(541) 747-0655
Address
2280 Marcola Rd
Enumeration Date
20 April 2017
Last Update Date
2 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5417474300
Graduation Year
2017 (9 years ago)
PAC ID
2466721147
Group Practice PAC ID
0042100372
Professional Enrollment ID
I20170712001667
Address ID
OR974772594SP2280XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for ALEJANDRO ELLIOTT I COLMENERO (MSPA, PA-C)

  • 2280 Marcola Rd

    Springfield, OR 974772594

    Phone: (541) 747-0655

    Type: Location

  • 1800 Centennial Blvd

    Springfield, OR 974774379

    Phone: (541) 747-4300

    Fax: (541) 747-0655

    Type: Location

  • 877, East Park Street, Eugene, Lane County, Oregon, 97401, United States

    APT 302

    EUGENE, OR 974013079

    Phone: (256) 975-7948

    Type: Mailing

  • 2280, Marcola Road, Springfield, Lane County, Oregon, 97477, United States

    SPRINGFIELD, OR 974772594

    Phone: (541) 747-0655

    Type: Location

  • 2280 MARCOLA RD

    SPRINGFIELD, OR 974772594

    Phone: (541) 747-4300

    Fax: (541) 747-0655

    Type: Mailing

  • 21 HAYDEN BRIDGE WAY

    SPRINGFIELD, OR 974771305

    Phone: (541) 747-4300

    Fax: (541) 747-0655

    Type: Location

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 $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-01-27 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-27

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: 2017-07-12

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
I20170712001667IPhysician AssistantORTBD

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 minutes13286$0
99213Established patient office or other outpatient visit, 20-29 minutes7661$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5858$0
96160Administration and interpretation of patient-focused health risk assessment2625$0
G0008Administration of influenza virus vaccine2626$0
View full utilization report →

Insurance plans in this area (ZIP 97477)

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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: 0042100372View full group profile
NameSpecialtyState
-OR
Clinical PsychologistOR
Preventive MedicineOR
Family PracticeFL
Family PracticeOR
Family PracticeOR
Nurse PractitionerOR
Family PracticeTX
-OR
Physician AssistantOR

Reviews

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Frequently asked questions

What identifier follows ALEJANDRO ELLIOTT I COLMENERO (MSPA, PA-C) across health systems?
The NPI 1003340613 uniquely identifies ALEJANDRO ELLIOTT I COLMENERO (MSPA, PA-C) in U.S. healthcare data.
Does the public listing show ALEJANDRO ELLIOTT I COLMENERO (MSPA, PA-C) as active?
ALEJANDRO ELLIOTT I COLMENERO (MSPA, PA-C)'s NPI record reflects an active status in NPPES.
What services align with ALEJANDRO ELLIOTT I COLMENERO (MSPA, PA-C)'s listing?
ALEJANDRO ELLIOTT I COLMENERO (MSPA, PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to ALEJANDRO ELLIOTT I COLMENERO (MSPA, PA-C)?
ALEJANDRO ELLIOTT I COLMENERO (MSPA, PA-C) shows a connection to Springfield, Oregon in registry-derived data.
Who maintains ALEJANDRO ELLIOTT I COLMENERO (MSPA, PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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