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ALIX NICOLE KROTZ PA
NPI 1639898059
Physician Assistant in Moreno Valley, CA

Active since August 29, 2022PECOS Enrolled
27300 IRIS AVE, MORENO VALLEY, CA 92555(951) 243-2018 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 6, 2024, Nov 14, 2022, Oct 24, 2022 and 1 more (4 updates tracked since 2022).

About Alix Nicole Krotz Pa NPPES

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

ALIX NICOLE KROTZ PA (NPI 1639898059) is an individual physician assistant in Moreno Valley, California, licensed in California (PA61799) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639898059
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALIX NICOLE KROTZCredential: PA
Location Address27300 IRIS AVEMoreno Valley, CA 92555-4802
Mailing Address28480 Ripple Brook LnMenifee, CA 92585-3329 · (951) 388-9021
Phone(951) 243-2018
Sole ProprietorNo
Enumeration DateAugust 29, 2022
Last NPPES UpdateFebruary 6, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
✔ NPI 1639898059 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 · PA61799
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
27300 IRIS AVE, Moreno Valley, CA 92555
Open in Google Maps ↗

Other Names 1

Former Name (1)Alix Nicole Black Pa

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alix Nicole Krotz Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 92555 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

NNEOMA SUSAN OBINNA
Registered Nurse
27300 IRIS AVE
MORENO VALLEY, CA 92555
Riverside County (833) 574-2273
THELMA IMMACULADA E EDQUID MD PC
Anesthesiology
27300 IRIS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 243-0811
DR. YIFEI ZHENG M.D.
Anesthesiology
27300 IRIS AVE
MORENO VALLEY, CA 92555
Riverside County (619) 373-5740
SHAWNA BRAMEL LCSW
Social Worker (Clinical)
27300 IRIS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 251-6007
DR. PATRICK NICHOLEUS CAMPO PAGADUAN DO
Student in an Organized Health Care Education/Training Program
27300 IRIS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 353-4619
KAISER FOUNDATION HOSPITALS
Pharmacy (Institutional Pharmacy)
27300 IRIS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 243-2162
MISS SOUDABEH SOHEILI
Respiratory Therapist, Registered (General Care)
27300 IRIS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 243-0811
KAISER FOUNDATION HOSPITALS
General Acute Care Hospital
27300 IRIS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 243-2263

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 Alix Krotz's NPI number?

The NPI number for Alix Krotz is 1639898059. It was assigned to this individual provider in the NPPES registry on August 29, 2022. The provider is also known as Alix Nicole Black PA.

Where is Alix Krotz located?

Alix Krotz practices at 27300 Iris Ave, Moreno Valley, CA 92555. The listed phone number is (951) 243-2018.

What is Alix Krotz's specialty?

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

Is Alix Krotz enrolled in Medicare?

Yes. Alix Krotz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alix Krotz was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.