ALEXIS THOMPSON PA-C
NPI 1588200463
Physician Assistant in Clearlake, CA

Active since November 26, 2019PECOS EnrolledAccepts Medicare Assignment
15230 LAKESHORE DR, CLEARLAKE, CA 95422(707) 995-4500(707) 944-2401 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 5, 2024, Nov 26, 2019 (2 updates tracked since 2019).

About Alexis Thompson Pa-c NPPES

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

ALEXIS THOMPSON PA-C (NPI 1588200463) is an individual physician assistant in Clearlake, California, licensed in California (PA64741) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1588200463
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALEXIS THOMPSONCredential: PA-C
Location Address15230 LAKESHORE DRClearlake, CA 95422-8107
Mailing Address15230 Lakeshore DrClearlake, CA 95422-8107 · (707) 995-4500 · Fax (707) 944-2401
Fax(707) 944-2401
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 26, 2019
Last NPPES UpdateOctober 21, 20242 updates tracked since enumeration
NPPES CertifiedOctober 21, 2024
NPI 1588200463 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 · PA64741
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 ListedBehavior TechnicianTaxonomy 106S00000X
15230 LAKESHORE DR, Clearlake, CA 95422

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 Thompson 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 ID6204361835
PECOS Enrollment IDI20241119004878
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95422 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.

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.

Social Worker (Clinical)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Licensed Vocational Nurse
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Pharmacy (Long Term Care Pharmacy)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Social Worker (Clinical)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Social Worker (Clinical)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Social Worker (Clinical)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Psychiatry & Neurology (Neurology)
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Pediatrics
15230 LAKESHORE DR
CLEARLAKE, CA 95422

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 Alexis Thompson's NPI number?

The NPI number for Alexis Thompson is 1588200463. It was assigned to this individual provider in the NPPES registry on November 26, 2019.

Where is Alexis Thompson located?

Alexis Thompson practices at 15230 Lakeshore Dr, Clearlake, CA 95422. The listed phone number is (707) 995-4500.

What is Alexis Thompson's specialty?

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

Is Alexis Thompson enrolled in Medicare?

Yes. Alexis Thompson 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 Alexis Thompson was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.