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ALYXANDRIA KATHRYN ANDRUS PA-C
NPI 1073999397
Physician Assistant in Green Bay, WI

Active since August 10, 2015PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
2605 DEVELOPMENT DR, GREEN BAY, WI 54311(920) 288-8240(920) 857-1488 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2026, Apr 9, 2024, Jan 31, 2023 and 3 more (6 updates tracked since 2015).

About Alyxandria Kathryn Andrus Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYXANDRIA KATHRYN ANDRUS PA-C (NPI 1073999397) is an individual physician assistant in Green Bay, Wisconsin and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Aurora Baycare Medical Ctr, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1073999397
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALYXANDRIA KATHRYN ANDRUSCredential: PA-C
Location Address2605 DEVELOPMENT DRGreen Bay, WI 54311-4240
Mailing Address1035 Kepler DrGreen Bay, WI 54311-8320 · (920) 490-9046 · Fax (920) 405-8005
Phone(920) 288-8240
Fax(920) 857-1488
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 10, 2015
Last NPPES UpdateApril 21, 20266 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1073999397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2605 DEVELOPMENT DR, Green Bay, WI 54311
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alyxandria Kathryn Andrus Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810206661
PECOS Enrollment IDI20151019002337
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora Baycare Medical Ctr

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number520193
Location2845 Greenbrier RdGreen Bay, WI 54311 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54311 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM J DIERBERG M.D.
Plastic Surgery
2605 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 288-8240
DR. TERESA A GONZAGA MD
Surgery (Plastic and Reconstructive Surgery)
2605 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 288-8240
KELSEY ROSE ESSER
Physician Assistant
2605 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 288-8240
KARRI ADAMSON MD
Surgery (Plastic and Reconstructive Surgery)
2605 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 288-8240
AMBER CERNAT PA-C
Physician Assistant
2605 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 288-8240
GRACE WOODS
Physician Assistant
2605 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 288-8240
SPENCER KLEIN
Surgery (Plastic and Reconstructive Surgery)
2605 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 288-8240
BAYCARE CLINIC, LLP
Plastic Surgery
2605 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 288-8240

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alyxandria Andrus's NPI number?

The NPI number for Alyxandria Andrus is 1073999397. It was assigned to this individual provider in the NPPES registry on August 10, 2015.

Where is Alyxandria Andrus located?

Alyxandria Andrus practices at 2605 Development Dr, Green Bay, WI 54311. The listed phone number is (920) 288-8240.

What is Alyxandria Andrus's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alyxandria Andrus enrolled in Medicare?

Yes. Alyxandria Andrus is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alyxandria Andrus accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Quartz and Security Health Plan and 1 other insurer list Alyxandria Andrus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Alyxandria Andrus affiliated with any hospitals?

According to CMS data, Alyxandria Andrus is affiliated with Aurora Baycare Medical Ctr.

When was this NPI record last updated?

The NPPES record for Alyxandria Andrus was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.