MRS. ALEXA LEE BERETSKI (PA-C) – Physician Assistant, NPI 1164590071

MRS. ALEXA LEE BERETSKI (PA-C) is a healthcare provider. based in Scranton, Pennsylvania. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. MA052867 (PA). The NPI Number for MRS. ALEXA LEE BERETSKI (PA-C) is 1164590071

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ALEXA LEE BERETSKI (PA-C)
NPI
1164590071
Phone
(570) 346-7331
Address
802 JEFFERSON AVE
Enumeration Date
30 November 2006
Last Update Date
19 October 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5707357474
Graduation Year
2006 (20 years ago)
PAC ID
8921009713
Group Practice PAC ID
2668696592
Professional Enrollment ID
I20070122000371
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. ALEXA LEE BERETSKI (PA-C)

  • Jefferson Avenue, Downtown, Scranton, Lackawanna County, Pennsylvania, 18503, United States

    SCRANTON, PA 185101038

    Phone: (570) 346-7331

    Fax: (570) 346-0411

    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 7 Open Payments records for all available years, with a total value of $124.

Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.

Last reported payment date: 2024-07-25 • Largest payer in this snapshot: PFIZER INC. ($60).

Total Amount

$124

General + Research + Ownership

Payments

7

Total payment records

General Amount

$124

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-25

Latest reported date

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: 2007-01-22

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
I20070122000371IPhysician AssistantPATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes8470$0
View full utilization report →

Insurance plans in this area (ZIP 18510)

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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: 2668696592View full group profile
NameSpecialtyState
Nurse PractitionerPA
General SurgeryPA
Family PracticePA
Physician AssistantPA
-PA
Physician AssistantPA
Physician AssistantPA
N E U R O L O G YPA
-PA
Family PracticePA

Reviews

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Frequently asked questions

What is MRS. ALEXA LEE BERETSKI (PA-C)'s NPI number?
MRS. ALEXA LEE BERETSKI (PA-C)'s NPI is 1164590071 — the number used across U.S. healthcare to identify this provider.
Is MRS. ALEXA LEE BERETSKI (PA-C) shown as active in public data?
Registry records indicate MRS. ALEXA LEE BERETSKI (PA-C) maintains an active NPI.
What expertise is attributed to MRS. ALEXA LEE BERETSKI (PA-C)?
MRS. ALEXA LEE BERETSKI (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. ALEXA LEE BERETSKI (PA-C)?
Travel planning: use Scranton, Pennsylvania as the reference point for MRS. ALEXA LEE BERETSKI (PA-C), then confirm.
When was this NPI issued?
Enumeration for MRS. ALEXA LEE BERETSKI (PA-C) is noted as November 30, 2006 where the registry provides it.

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