ALYSSA R. WAITKUS (PA) – Physician Assistant, NPI 1134214042

ALYSSA R. WAITKUS (PA) is a healthcare provider. based in Chester, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 0110002172 (VA). The NPI Number for ALYSSA R. WAITKUS (PA) is 1134214042

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
ALYSSA R. WAITKUS (PA)
NPI
1134214042
Phone
(804) 358-6100
Address
12801 IRON BRIDGE RD
Enumeration Date
4 October 2006
Last Update Date
19 January 2016

Doctor Profile

Medical School Name
AT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Secondary Phone
8048288737
Graduation Year
2021 (5 years ago)
PAC ID
7113085671
Group Practice PAC ID
4385542117
Professional Enrollment ID
I20081028000190
Address ID
VA232191914RI401XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in VA

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Provider Addresses for ALYSSA R. WAITKUS (PA)

  • 12801, Iron Bridge Road, Lakewood Estates, Chester, Chesterfield County, Virginia, 23831, United States

    STE 200

    CHESTER, VA 238311669

    Phone: (804) 358-6100

    Fax: (804) 342-7619

    Type: Mailing

  • VCU Medical Center, 1250, East Marshall Street, Shockoe Slip, Richmond, Richmond City, Virginia, 23219, United States

    DEPARTMENT OF EMERGENCY MEDICINE

    RICHMOND, VA 232985051

    Phone: (804) 828-0999

    Fax: (804) 628-0384

    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 $94.

Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.

Last reported payment date: 2023-11-02 • Largest payer in this snapshot: Novo Nordisk Inc ($94).

Total Amount

$94

General + Research + Ownership

Payments

1

Total payment records

General Amount

$94

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$94
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: 2008-10-28

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
I20081028000190IPhysician AssistantVATBD

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
99215Established patient office or other outpatient visit, 40-54 minutes8429$0
99214Established patient office or other outpatient visit, 30-39 minutes5132$0
View full utilization report →

Insurance plans in this area (ZIP 23831)

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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: 4385542117View full group profile
NameSpecialtyState
Internal MedicineVA
-VA
Nurse PractitionerVA
Orthopedic SurgeryVA
O T O L A R Y N G O L O G YVA
Diagnostic RadiologyVA
Nurse PractitionerVA
Qualified AudiologistVA
Radiation OncologyVA
O T O L A R Y N G O L O G YVA

Reviews

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Frequently asked questions

Does ALYSSA R. WAITKUS (PA) have a public NPI I can cite?
Public records show ALYSSA R. WAITKUS (PA) under NPI 1134214042.
Quick check: is ALYSSA R. WAITKUS (PA) active?
Public NPPES data shows ALYSSA R. WAITKUS (PA) with an active NPI status right now.
What type of care does ALYSSA R. WAITKUS (PA) provide?
ALYSSA R. WAITKUS (PA)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to ALYSSA R. WAITKUS (PA)?
ALYSSA R. WAITKUS (PA) shows a connection to Chester, Virginia in registry-derived data.
Can I export ALYSSA R. WAITKUS (PA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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