MS. ALISA BARNES (PAC) – Physician Assistant, NPI 1285797357
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,531 PHYSICIAN ASSISTANT in ID
Provider Addresses for MS. ALISA BARNES (PAC)
1700 West, Evergreen Farms, Layton, Davis County, Utah, 84041, United States
SUITE C
LAYTON, UT 84041
Phone: (801) 773-8644
Fax: (801) 927-1591
Type: Mailing
190 E BANNOCK ST
BOISE, ID 837126241
Phone:
Type: Mailing
621 N Main St
Bellevue, ID 833135093
Phone: (208) 725-3145
Type: Location
1450 AVIATION DR STE 100
HAILEY, ID 833338785
Phone: (208) 788-3434
Fax: (208) 788-9238
Type: Location
5991, South 3500 West, Roy, Weber County, Utah, 84067, United States
Roy, UT 84067
Phone: (801) 773-8644
Fax: (801) 985-0486
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $49.
Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.
Last reported payment date: 2024-08-28 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($33).
Total Amount
$49
General + Research + Ownership
Payments
2
Total payment records
General Amount
$49
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $33 |
| Xeris Pharmaceuticals, Inc. | $15 |
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: 2025-03-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220210002267 | I | Physician Assistant | ID | TBD |
| I20250310000006 | I | Physician Assistant | TX | TBD |
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.
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 84041)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | OK | |
| P S Y C H I A T R Y | OK | |
| Diagnostic Radiology | OK | |
| Nurse Practitioner | OK | |
| N E U R O L O G Y | AR | |
| Mental Health Counselor | OK | |
| E N D O C R I N O L O G Y | AR | |
| Mental Health Counselor | OK | |
| O P T O M E T R Y | OK |
Reviews
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