SHIRLEY L. ALA (PA-C) – Medical Physician Assistant, NPI 1619909017
Medical Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
Provider Addresses for SHIRLEY L. ALA (PA-C)
2295 Foothill Dr
Salt Lake City, UT 841094000
Phone: (801) 486-3021
Fax: (801) 485-6339
Type: Location
91 Campus Ave
Lewiston, ME 042406030
Phone: (207) 777-8120
Fax: (207) 777-8984
Type: Location
15 Gracelawn Rd
Auburn, ME 042106334
Phone: (077) 533-0802
Fax: (207) 753-3088
Type: Location
791 TURNER ST UNIT 2
AUBURN, ME 042106314
Phone: (207) 330-3900
Fax: (207) 330-3940
Type: Location
Foothill Familiy Clinic - Foothill Clinic, 2295, Foothill Drive, Salt Lake City, Salt Lake County, Utah, 84109, United States
SALT LAKE CITY, UT 841094000
Phone: (801) 486-3021
Fax: (801) 485-6339
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-05-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20040818000358 | I | Physician Assistant | UT | TBD |
| I20220517002747 | I | Physician Assistant | ME | TBD |
| I20250519003403 | I | Physician Assistant | OR | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 52 | 42 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 21 | 21 | $0 |
Insurance plans in this area (ZIP 84109)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | ME | |
| Family Practice | ID | |
| Clinical Social Worker | ME | |
| Nurse Practitioner | WA | |
| - | ME | |
| Family Practice | ME | |
| Nurse Practitioner | ME | |
| Clinical Social Worker | ME | |
| Family Practice | ME | |
| - | ME |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.