ALISSA SOBIERAJ (PAC) – Physician Assistant, NPI 1619073459

ALISSA SOBIERAJ (PAC) is a healthcare provider. based in Bridgeport, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. PA00992 (TX). The NPI Number for ALISSA SOBIERAJ (PAC) is 1619073459

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
ALISSA SOBIERAJ (PAC)
NPI
1619073459
Phone
(940) 683-2338
Address
2202 US HIGHWAY 380 STE 112
Enumeration Date
16 September 2006
Last Update Date
26 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8172670550
Graduation Year
1994 (32 years ago)
PAC ID
9335334648
Group Practice PAC ID
3375819535
Professional Enrollment ID
I20101112000224
Address ID
TX760403902EU315XXWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for ALISSA SOBIERAJ (PAC)

  • 2202 US HIGHWAY 380 STE 112

    BRIDGEPORT, TX 764262177

    Phone: (940) 683-2338

    Fax: (940) 683-2394

    Type: Location

  • Wise Health System, 2000, South FM 51, Decatur, Wise County, Texas, 76234, United States

    DECATUR, TX 762343702

    Phone: (940) 626-3888

    Fax: (940) 626-3881

    Type: Location

  • 2078, Hairston Creek Parkway, Kings Ridge, Decatur, DeKalb County, Georgia, 30035, United States

    DECATUR, TX 762346156

    Phone: (940) 683-2338

    Fax: (940) 683-2394

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $489.

Total Amount is formed as General ($489) + Research ($0) + Ownership ($0) = $489.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novo Nordisk Inc ($109).

Total Amount

$489

General + Research + Ownership

Payments

27

Total payment records

General Amount

$489

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2010-11-12

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
I20101112000224IPhysician 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 minutes3721$0
99213Established patient office or other outpatient visit, 20-29 minutes2820$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1212$0
View full utilization report →

Insurance plans in this area (ZIP 76426)

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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: 3375819535View full group profile
NameSpecialtyState
Nurse PractitionerTX
Family PracticeTX
Internal MedicineTX
Nurse PractitionerTX
Family PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX
Internal MedicineTX
Nurse PractitionerTX
E N D O C R I N O L O G YTX

Reviews

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Frequently asked questions

What NPI should I save for ALISSA SOBIERAJ (PAC)?
Save NPI 1619073459 if you need a stable reference for ALISSA SOBIERAJ (PAC).
Is ALISSA SOBIERAJ (PAC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does ALISSA SOBIERAJ (PAC) list a primary specialty?
If you are matching referrals, note Physician Assistant for ALISSA SOBIERAJ (PAC). Clinical services aligned with this taxonomy classification.
Where does public data place ALISSA SOBIERAJ (PAC)?
The snapshot lists Bridgeport, Texas for ALISSA SOBIERAJ (PAC); download NPPES for the complete set.
Is ALISSA SOBIERAJ (PAC) a real provider?
This page reflects official NPPES data for NPI 1619073459. Always confirm identity and privileges with the practice and licensing boards.

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