ALISA BENEDICT (PA-C) – Physician Assistant, NPI 1619227063

ALISA BENEDICT (PA-C) is a healthcare provider. based in Venetia, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA055656 (PA). The NPI Number for ALISA BENEDICT (PA-C) is 1619227063

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
ALISA BENEDICT (PA-C)
NPI
1619227063
Phone
(724) 777-1729
Address
105 CORNERSTONE CT
Enumeration Date
13 September 2012
Last Update Date
9 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
1850542424
Group Practice PAC ID
8729990239
Professional Enrollment ID
I20121107000284
Address ID
PA152133108PI300XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

9,738 PHYSICIAN ASSISTANT in PA

Provider Addresses for ALISA BENEDICT (PA-C)

  • 105 CORNERSTONE CT

    VENETIA, PA 153672325

    Phone: (724) 777-1729

    Type: Mailing

  • 1142 NATIONAL PIKE

    HOPWOOD, PA 154452250

    Phone: (724) 437-2147

    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 $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-04-18 • Largest payer in this snapshot: CooperSurgical, Inc. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CooperSurgical, Inc.$15
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: 2012-11-07

PECOS data refreshed: 2026-06-15

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
I20121107000284IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 15367)

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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: 8729990239View full group profile
NameSpecialtyState
Anesthesiology, Critical Care (Intensivists)PA
Nurse PractitionerPA
-PA
Cardiac Surgery, General SurgeryPA
Nurse PractitionerPA
-PA
-MD
-SC
-PA
-PA

Reviews

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Frequently asked questions

What unique ID ties claims to ALISA BENEDICT (PA-C)?
NPI 1619227063 is assigned to ALISA BENEDICT (PA-C) under the national enumeration system.
Is ALISA BENEDICT (PA-C)'s NPI currently valid?
The extract we use shows ALISA BENEDICT (PA-C) as active.
Does ALISA BENEDICT (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for ALISA BENEDICT (PA-C). Clinical services aligned with this taxonomy classification.
Where is ALISA BENEDICT (PA-C)'s primary listing?
We display Venetia, Pennsylvania because that is what the record indicates for ALISA BENEDICT (PA-C).
Is ALISA BENEDICT (PA-C) a real provider?
This page reflects official NPPES data for NPI 1619227063. Always confirm identity and privileges with the practice and licensing boards.

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