ALYSSA NICOLE DEJONG (PA-C) – Medical Physician Assistant, NPI 1720699242

ALYSSA NICOLE DEJONG (PA-C) is a healthcare provider. based in Stephenville, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA15009 (TX). The NPI Number for ALYSSA NICOLE DEJONG (PA-C) is 1720699242

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
ALYSSA NICOLE DEJONG (PA-C)
NPI
1720699242
Phone
(254) 965-2663
Address
561 N GRAHAM ST
Enumeration Date
10 August 2020
Last Update Date
11 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2549652663
Graduation Year
2021 (5 years ago)
PAC ID
8628476801
Group Practice PAC ID
0345235248
Professional Enrollment ID
I20211004001035
Address ID
TX764013555ST561XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:5State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for ALYSSA NICOLE DEJONG (PA-C)

  • 561 N GRAHAM ST

    STEPHENVILLE, TX 764013548

    Phone: (254) 965-2663

    Fax: (254) 968-7979

    Type: Mailing

  • 3600 N GARFIELD ST

    MIDLAND, TX 797056329

    Phone:

    Type: Mailing

  • 202 E Jefferson Ave

    Whitney, TX 766922398

    Phone: (254) 694-2221

    Fax: (254) 694-9978

    Type: Location

  • PO BOX 72

    CLIFTON, TX 766340072

    Phone: (254) 675-8621

    Fax: (254) 675-2254

    Type: Mailing

  • 201 POSEY AVE

    CLIFTON, TX 766341200

    Phone: (254) 675-8621

    Fax: (254) 675-2254

    Type: Location

  • 561 N GRAHAM ST UNIT 101

    STEPHENVILLE, TX 764013555

    Phone: (254) 965-2663

    Fax: (254) 968-7979

    Type: Location

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 $270.

Total Amount is formed as General ($270) + Research ($0) + Ownership ($0) = $270.

Last reported payment date: 2024-07-08 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($169).

Total Amount

$270

General + Research + Ownership

Payments

7

Total payment records

General Amount

$270

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-08

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: 2021-10-04

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
I20211004001035IPhysician 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
J7331Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg1,94430$0
J7329Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg1,05015$0
20610Aspiration and/or injection of fluid from large joint13257$0
99212Established patient office or other outpatient visit, 10-19 minutes7150$0
99213Established patient office or other outpatient visit, 20-29 minutes5746$0
View full utilization report →

Insurance plans in this area (ZIP 76401)

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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: 0345235248View full group profile
NameSpecialtyState
Orthopedic SurgeryTX
-TX

Reviews

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Frequently asked questions

How do I look up ALYSSA NICOLE DEJONG (PA-C) by NPI?
Use NPI 1720699242 when you need to reference ALYSSA NICOLE DEJONG (PA-C) in forms, claims, or directories.
Is ALYSSA NICOLE DEJONG (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is ALYSSA NICOLE DEJONG (PA-C)?
The page reflects Medical Physician Assistant for ALYSSA NICOLE DEJONG (PA-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for ALYSSA NICOLE DEJONG (PA-C)?
The page summarizes Stephenville, Texas for ALYSSA NICOLE DEJONG (PA-C); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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