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ALEXANDRA R. VITALE PA-C
NPI 1265803738
Physician Assistant - Medical in Bristol, CT

Active since October 09, 2015PECOS EnrolledAccepts Medicare Assignment
15 RIVERSIDE AVE, BRISTOL, CT 06010(860) 585-3333 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2025, Jan 27, 2022, Oct 11, 2019 (3 updates tracked since 2019).

About Alexandra R. Vitale Pa-c NPPES

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

ALEXANDRA R. VITALE PA-C (NPI 1265803738) is an individual medical provider in Bristol, Connecticut, licensed in Connecticut (3455) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1265803738
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameALEXANDRA R. VITALECredential: PA-C
Location Address15 RIVERSIDE AVEBristol, CT 06010
Mailing Address2408 Whitney AveHamden, CT 06518-3209 · (203) 626-0160 · Fax (203) 294-6734
Phone(860) 585-3333
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 9, 2015
Last NPPES UpdateAugust 5, 20253 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1265803738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CT · 3455
Also ListedPhysician AssistantTaxonomy 363A00000X · License 3455 (CT)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 3455 (CT)
15 RIVERSIDE AVE, Bristol, CT 06010
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Other Names 1

Professional Name (2)Alexandra Vitale Pa-c

Secondary Practice Locations 2

Location 141 Brewster RdBristol, CT 06010-5161 · Phone (860) 585-3333
Location 22416 Whitney Ave Fl 1Hamden, CT 06518-3248 · Phone (203) 407-3550 · Fax (203) 407-4244

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 R. Vitale 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 ID42510067
PECOS Enrollment IDI20151124000849
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.

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.

CARLA MELISA LITUMA LOPEZ MD
Internal Medicine
15 RIVERSIDE AVE
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 516-7593
SIERRA ROMIE PA-C
Physician Assistant
15 RIVERSIDE AVE
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 585-3000
PETER BELLEZZA
Podiatrist (Foot & Ankle Surgery)
15 RIVERSIDE AVE
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 585-3333
ERIN GALUSKA MSN, APRN, FNP-C
Nurse Practitioner (Family)
15 RIVERSIDE AVE
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 516-7593
BRISTOL HOSPITAL MULTI-SPECIALTY GROUP, INC.
Psychiatry & Neurology (Psychiatry)
15 RIVERSIDE AVE
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 585-9473
MRS. REBECCA IANNUCCI APRN FNP-BC
Nurse Practitioner (Family)
15 RIVERSIDE AVE
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 516-7593
BRISTOL HOSPITAL MULTI SPECIALTY GROUP, INC
General Practice
15 RIVERSIDE AVE
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 585-3906
DR. ALISON SAROKHAN M.D.
Orthopaedic Surgery (Hand Surgery)
15 RIVERSIDE AVE
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 585-3333

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 Vitale's NPI number?

The NPI number for Alexandra Vitale is 1265803738. It was assigned to this individual provider in the NPPES registry on October 9, 2015. The provider is also known as Alexandra Vitale Pa-C.

Where is Alexandra Vitale located?

Alexandra Vitale practices at 15 Riverside Ave, Bristol, CT 06010. The listed phone number is (860) 585-3333.

What is Alexandra Vitale's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Alexandra Vitale enrolled in Medicare?

Yes. Alexandra Vitale 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 Vitale was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.