ALEXANDRA VILLALBA PA
NPI 1114576436
Physician Assistant - Surgical in Bristol, CT
About Alexandra Villalba Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXANDRA VILLALBA PA (NPI 1114576436) is an individual surgical provider in Bristol, Connecticut and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 3
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
Alexandra Villalba Pa 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.
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.
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 Alexandra Villalba's NPI number?
The NPI number for Alexandra Villalba is 1114576436. It was assigned to this individual provider in the NPPES registry on September 9, 2019.
Where is Alexandra Villalba located?
Alexandra Villalba practices at 240 Main St, Bristol, CT 06010. The listed phone number is (860) 585-3469.
What is Alexandra Villalba's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Alexandra Villalba enrolled in Medicare?
Yes. Alexandra Villalba 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.
When was this NPI record last updated?
The NPPES record for Alexandra Villalba was last updated on September 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Alexandra Villalba, PA · NPI 1114576436
Surgical physician in Bristol, Connecticut. Individual provider, active in the CMS NPPES registry since September 9, 2019.
## Identity
- **NPI:** 1114576436 (Entity type: Individual)
- **Enumerated:** September 9, 2019
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 240 MAIN ST, Bristol, CT 06010-6337
- **Phone:** (860) 585-3469
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 9, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1114576436) · Data from the CMS NPPES public registry.