alphatelemed.com – Family Nurse Practitioner, NPI 1295393791
Family Nurse Practitioner
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for alphatelemed.com
6701 Corporate Dr Ste N
Johnston, IA 501311659
Phone: (866) 589-9964
Fax: (844) 689-4134
Type: Location
1500 N Grant St Ste N
Denver, CO 802031859
Phone: (866) 589-9964
Fax: (844) 689-4134
Type: Location
4601 E Douglas Ave Ste 150
Wichita, KS 672181011
Phone: (866) 589-9964
Fax: (844) 689-4143
Type: Location
2615 COLUMBIA PIKE STE BSMT200
ARLINGTON, VA 222044409
Phone: (818) 445-0139
Fax: (949) 404-6967
Type: Mailing
4250 Fairfax Dr Ste 600
Arlington, VA 222031665
Phone: (703) 589-9964
Fax: (571) 252-7100
Type: Location
11615 Angus Rd Ste 104
Austin, TX 787594064
Phone: (866) 589-9964
Fax: (571) 252-7100
Type: Location
920 N Shenandoah Ave Ste 202
Front Royal, VA 226303555
Phone: (703) 589-9964
Fax: (571) 252-7100
Type: Location
1625, Chickasaw Place Northeast, Edwards Landing, Leesburg, Loudoun County, Virginia, 20176, United States
LEESBURG, VA 201766622
Phone: (703) 589-9964
Type: Location
10622 RUNAWAY LN
GREAT FALLS, VA 220662420
Phone: (703) 589-9964
Fax: (571) 252-7100
Type: Mailing
10919 BELGRAVIA CT
GREAT FALLS, VA 220663106
Phone: (703) 589-9964
Fax: (571) 252-7100
Type: Mailing
46179 WESTLAKE DR STE 330
STERLING, VA 201655874
Phone: (703) 589-9964
Fax: (571) 252-7100
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: 2019-07-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-07-31 (680 days ago).
Enrollment records
1
Earliest due date
2024-07-31
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 |
|---|---|---|---|---|
| O20190724000025 | O | Clinic/Group Practice | VA | 2024-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 50131)
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