ALISA VICKREY PA-C
NPI 1134591621
Physician Assistant in Redding, CA

Active since October 23, 2015PECOS EnrolledAccepts Medicare Assignment
1355 EAST ST STE 200, REDDING, CA 96001(530) 605-4260(707) 826-8638 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 18, 2025, Dec 12, 2024, Aug 14, 2020 and 1 more (4 updates tracked since 2015).

About Alisa Vickrey Pa-c NPPES

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

ALISA VICKREY PA-C (NPI 1134591621) is an individual physician assistant in Redding, California, licensed in California (56745) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1134591621
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALISA VICKREYCredential: PA-C
Location Address1355 EAST ST STE 200Redding, CA 96001-0801
Mailing Address1355 East St Ste 200Redding, CA 96001-0801 · (530) 605-4260 · Fax (707) 826-8638
Fax(707) 826-8638
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 23, 2015
Last NPPES UpdateFebruary 18, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
NPI 1134591621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in CA · 56745 Licensed in AK · 103678
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.

1355 EAST ST STE 200, Redding, CA 96001

Secondary Practice Location 1

Location 1333 1st St Ste ASan Francisco, CA 94105-2661 · Phone (888) 803-3370

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

Alisa Vickrey 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 ID2860793106
PECOS Enrollment IDI20200520003385
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.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
290 services178 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
160 services118 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
108 services108 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
72 services65 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
41 services32 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
33 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96001 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers24 claims24 services$19.50 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$112.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
1355 EAST ST STE 200
REDDING, CA 96001
Obstetrics & Gynecology
1355 EAST ST STE 200
REDDING, CA 96001
Hospitalist
1355 EAST ST STE 200
REDDING, CA 96001
Nurse Practitioner (Family)
1355 EAST ST STE 200
REDDING, CA 96001
Nurse Practitioner (Family)
1355 EAST ST STE 200
REDDING, CA 96001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134591621, enumerated as an "individual" on October 23, 2015.

The provider is located at 1355 EAST ST STE 200 REDDING, CA 96001 and the phone number is (530) 605-4260.

Physician Assistant with taxonomy code 363A00000X.