ALEXANDRA CORNWALL (PA-C) – Physician Assistant, NPI 1003208612
Physician Assistant
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ALEXANDRA CORNWALL (PA-C)
11315 BRIDGEPORT WAY SW
LAKEWOOD, WA 984993004
Phone: (253) 985-8701
Type: Mailing
11315 Bridgeport Way SW
Lakewood, WA 984993004
Phone: (401) 644-2940
Type: Location
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 984054265
Phone: (253) 596-3300
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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: 2015-06-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150625000811 | I | Physician Assistant | WA | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 54 | 53 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 46 | 44 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 44 | 43 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 34 | 33 | $0 |
| 93042 | Electrocardiogram (ecg) 1 to 3 leads with review by physician only | 32 | 31 | $0 |
Insurance plans in this area (ZIP 98499)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | FL | |
| Emergency Medicine | ND | |
| - | CA | |
| - | OR | |
| Emergency Medicine | MI | |
| - | CA | |
| Nurse Practitioner | TX | |
| Emergency Medicine | WA | |
| Emergency Medicine | MN | |
| Emergency Medicine | WA |
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