ALEXA CALLISON-BURCH (PA-C) – Physician Assistant, NPI 1912472630
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
323 PHYSICIAN ASSISTANT in WY
Provider Addresses for ALEXA CALLISON-BURCH (PA-C)
14 GREAT PLAINS RD
ARAPAHOE, WY 82510
Phone: (307) 856-9281
Type: Location
1479 S 300 E
Salt Lake City, UT 841151538
Phone: (307) 438-3008
Type: Location
350, Cliff Street, Lander, Fremont County, Wyoming, 82520, United States
LANDER, WY 825203334
Phone: (307) 438-3008
Type: Mailing
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: 2022-09-27
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 |
|---|---|---|---|---|
| I20220927003717 | I | Physician Assistant | UT | 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 |
|---|---|---|---|---|
| G0316 | Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th | 44 | 17 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 28 | 28 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 28 | 15 | $0 |
Insurance plans in this area (ZIP 82510)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | UT | |
| Physician Assistant | WA | |
| Nurse Practitioner | UT | |
| Physician Assistant | UT | |
| Physician Assistant | MT | |
| Physician Assistant | MA | |
| A N E S T H E S I O L O G Y | UT | |
| Pulmonary Disease, Sleep Medicine, Internal Medicine, Critical Care (Intensivists) | UT | |
| Nurse Practitioner | UT | |
| General Surgery | UT |
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