ALYXANDRIA KATHRYN ANDRUS (PA-C) – Physician Assistant, NPI 1073999397
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,678 PHYSICIAN ASSISTANT in WI
Provider Addresses for ALYXANDRIA KATHRYN ANDRUS (PA-C)
3021 VOYAGER DR
GREEN BAY, WI 543118303
Phone: (920) 288-8350
Type: Mailing
2845 GREENBRIER RD
GREEN BAY, WI 543116519
Phone: (920) 288-8350
Fax: (920) 288-8355
Type: Location
2605 DEVELOPMENT DR
GREEN BAY, WI 543114240
Phone: (920) 288-8240
Fax: (920) 857-1488
Type: Location
1035 KEPLER DR
GREEN BAY, WI 543118320
Phone: (920) 490-9046
Fax: (920) 405-8005
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $72.
Total Amount is formed as General ($72) + Research ($0) + Ownership ($0) = $72.
Last reported payment date: 2023-11-07 • Largest payer in this snapshot: ABBVIE INC. ($39).
Total Amount
$72
General + Research + Ownership
Payments
3
Total payment records
General Amount
$72
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $39 |
| Mentor Worldwide LLC | $33 |
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: 2015-10-19
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 |
|---|---|---|---|---|
| I20151019002337 | I | Physician Assistant | WI | 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 | 21 | 21 | $0 |
| 85652 | Red blood cell sedimentation rate, to detect inflammation, automated | 18 | 18 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 17 | 16 | $0 |
| 86140 | Measurement c-reactive protein for detection of infection or inflammation | 16 | 16 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 15 | 14 | $0 |
Insurance plans in this area (ZIP 54311)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | WI | 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 54 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | WI | |
| - | WI | |
| - | WI | |
| Family Practice, Sports Medicine | WI | |
| - | OH | |
| Physical Therapist In Private Practice | WI | |
| - | WI | |
| - | WI | |
| Internal Medicine, Hospitalist | WI | |
| - | WI |
Reviews
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