MISS ALEXANDRA HAYDEN REVLETT PA-C
NPI 1285351916
Physician Assistant - Medical in Tullahoma, TN

Q: What is Alexandra Revlett's NPI number?

The NPI number for Alexandra Revlett is 1285351916. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Q: What is Alexandra Revlett's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alexandra Revlett was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 24, 2022PECOS EnrolledAccepts Medicare Assignment

1801 N JACKSON ST, TULLAHOMA, TN 37388(931) 393-3000 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2026, Mar 28, 2026, Oct 24, 2022 (3 updates tracked since 2022).

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About Miss Alexandra Hayden Revlett Pa-c NPPES

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

MISS ALEXANDRA HAYDEN REVLETT PA-C (NPI 1285351916) is an individual medical provider in Tullahoma, Tennessee, licensed in Tennessee (5232) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and is a graduate of Lincoln Memorial University Medical Department (2022).

NPPES Registry Identity

NPI1285351916

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMISS ALEXANDRA HAYDEN REVLETTCredential: PA-C

Location Address1801 N JACKSON STTullahoma, TN 37388-8259

Mailing Address2933 Medical Center PkwyMurfreesboro, TN 37129-2276 · (615) 257-5601

Phone(931) 393-3000

Sole ProprietorYes

Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2022

Enumeration DateOctober 24, 2022

Last NPPES UpdateMarch 30, 20263 updates tracked since enumeration

NPPES CertifiedMarch 30, 2026

✔ NPI 1285351916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in TN · 5232

1801 N JACKSON ST, Tullahoma, TN 37388

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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

Miss Alexandra Hayden Revlett 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 ID9234506205

PECOS Enrollment IDI20221103001616

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 3

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

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

50 services47 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

46 services45 patients

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.

17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440039

Location1211 Medical Center DriveNashville, TN 37232 · Davidson County

Emergency services Birthing friendly

Vanderbilt Tullahoma-Harton Hospital

Acute Care Hospitals · Tullahoma, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number440144

Location1801 N Jackson St Box 460Tullahoma, TN 37388 · Coffee County

Emergency services Birthing friendly

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Other Providers at the Same Location NPPES 20

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

MS. PENNY CAROLYN TIPPS PT

Physical Therapist