ALEXIA WHITSEL
NPI 1790196400
Physician Assistant in Warsaw, IN

Active since May 15, 2014PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
1355 MARINERS DR, WARSAW, IN 46582(574) 267-6778(574) 267-3134 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 3, 2022, Jul 20, 2022, Nov 6, 2018 and 1 more (4 updates tracked since 2017).

About Alexia Whitsel NPPES

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

ALEXIA WHITSEL (NPI 1790196400) is an individual physician assistant in Warsaw, Indiana, licensed in Indiana (10001724A) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1790196400
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALEXIA WHITSEL
Location Address1355 MARINERS DRWarsaw, IN 46582-7145
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(574) 267-3134
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 15, 2014
Last NPPES UpdateOctober 3, 20224 updates tracked since enumeration
NPPES CertifiedOctober 3, 2022
NPI 1790196400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IN · 10001724A
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.

1355 MARINERS DR, Warsaw, IN 46582

Accepted 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

Alexia Whitsel 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 ID4880815935
PECOS Enrollment IDI20141015000904
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
99 services57 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
77 services64 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
35 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Parkview Whitley Hospital

Acute Care Hospitals · Columbia City, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150101
Location1260 E Sr 205Columbia City, IN 46725 · Whitley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46582 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers11 claims28 services$5.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Counselor (Mental Health)
1355 MARINERS DR
WARSAW, IN 46582
Family Medicine
1355 MARINERS DR
WARSAW, IN 46582
Emergency Medicine
1355 MARINERS DR
WARSAW, IN 46582
Family Medicine
1355 MARINERS DR
WARSAW, IN 46582
Nurse Practitioner
1355 MARINERS DR
WARSAW, IN 46582
Family Medicine
1355 MARINERS DR
WARSAW, IN 46582
Family Medicine
1355 MARINERS DR
WARSAW, IN 46582
Nurse Practitioner
1355 MARINERS DR
WARSAW, IN 46582

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790196400, enumerated as an "individual" on May 15, 2014.

The provider is located at 1355 MARINERS DR WARSAW, IN 46582 and the phone number is (574) 267-6778.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and CareSource. Please consult your insurance carrier or call the provider to verify.

Alexia Whitsel is affiliated with: PARKVIEW REGIONAL MEDICAL CENTER and PARKVIEW WHITLEY HOSPITAL.