MS. ALEXANDRA NICOLE REIVITIS
NPI 1407528771
Physician Assistant in Santa Monica, CA

Q: What is Alexandra Reivitis's NPI number?

The NPI number for Alexandra Reivitis is 1407528771. It was assigned to this individual provider in the NPPES registry on October 4, 2021.

Q: What is Alexandra Reivitis's specialty?

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

Active since October 04, 2021PECOS EnrolledAccepts Medicare Assignment

901 WILSHIRE BLVD FL 1, SANTA MONICA, CA 90401(310) 829-8945(424) 212-5934 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2023, Oct 4, 2021 (2 updates tracked since 2021).

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About Ms. Alexandra Nicole Reivitis NPPES

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

MS. ALEXANDRA NICOLE REIVITIS (NPI 1407528771) is an individual physician assistant in Santa Monica, California, licensed in California (61956) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1407528771

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. ALEXANDRA NICOLE REIVITIS

Location Address901 WILSHIRE BLVD FL 1Santa Monica, CA 90401-1854

Mailing Address2827 Coolidge AveLos Angeles, CA 90064-3821 · (310) 428-1267

Phone(310) 829-8945

Fax(424) 212-5934

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 4, 2021

Last NPPES UpdateOctober 22, 20252 updates tracked since enumeration

NPPES CertifiedOctober 22, 2025

✔ NPI 1407528771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · 61956

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

901 WILSHIRE BLVD FL 1, Santa Monica, CA 90401

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Secondary Practice Location 1

Location 1360 Huntington AveBoston, MA 02115-5000 · Phone (617) 373-3195

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

Ms. Alexandra Nicole Reivitis 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 ID8527427020

PECOS Enrollment IDI20230630001562

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

34 services32 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

33 services33 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90401 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

Other Providers at the Same Location NPPES 8

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

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