ALEXIS ANN MEDEIROS PA-C
NPI 1417669524
Physician Assistant in Brockton, MA

Q: What is Alexis Medeiros's NPI number?

The NPI number for Alexis Medeiros is 1417669524. It was assigned to this individual provider in the NPPES registry on December 20, 2022.

Q: What is Alexis Medeiros's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alexis Medeiros was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 December 20, 2022PECOS EnrolledAccepts Medicare Assignment

235 N PEARL ST, BROCKTON, MA 02301(508) 427-3000 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 10, 2025, Jun 12, 2024, May 10, 2023 and 1 more (4 updates tracked since 2022).

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About Alexis Ann Medeiros Pa-c NPPES

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

ALEXIS ANN MEDEIROS PA-C (NPI 1417669524) is an individual physician assistant in Brockton, Massachusetts and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1417669524

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameALEXIS ANN MEDEIROSCredential: PA-C

Location Address235 N PEARL STBrockton, MA 02301-1700

Mailing Address6122 Arbor Dr Unit 122Shrewsbury, MA 01545-6015 · (508) 858-7809

Phone(508) 427-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 20, 2022

Last NPPES UpdateMarch 10, 20254 updates tracked since enumeration

NPPES CertifiedMarch 10, 2025

✔ NPI 1417669524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

235 N PEARL ST, Brockton, MA 02301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Alexis Ann Medeiros 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 ID5799216917

PECOS Enrollment IDI20240930000564

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.

Hospital Affiliations CMS Care Compare

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

Good Samaritan Medical Center

Acute Care Hospitals · Brockton, MA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number220111

Location235 North Pearl StreetBrockton, MA 02301 · Plymouth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02301 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

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 20

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

SAMANTHA A SIEGEL

Emergency Medicine