ALEXANDRA HERNDON PAC
NPI 1861166621
Physician Assistant in Tulsa, OK

Q: What is Alexandra Herndon's NPI number?

The NPI number for Alexandra Herndon is 1861166621. It was assigned to this individual provider in the NPPES registry on August 5, 2021.

Q: What is Alexandra Herndon'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 Alexandra Herndon was last updated on July 31, 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.

Active since August 05, 2021PECOS EnrolledAccepts Medicare Assignment

6161 S YALE AVE, TULSA, OK 74136(918) 494-1805(918) 494-4573 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 31, 2024, Jun 26, 2024, Aug 5, 2021 (3 updates tracked since 2021).

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About Alexandra Herndon Pac NPPES

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

ALEXANDRA HERNDON PAC (NPI 1861166621) is an individual physician assistant in Tulsa, Oklahoma, licensed in Oklahoma (5184) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital, Inc, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2023).

NPPES Registry Identity

NPI1861166621

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameALEXANDRA HERNDONCredential: PAC

Location Address6161 S YALE AVETulsa, OK 74136-1902

Mailing Address6600 S Yale Ave Ste 1400Tulsa, OK 74136-3331 · (888) 247-0125 · Fax (918) 502-8210

Phone(918) 494-1805

Fax(918) 494-4573

Sole ProprietorNo

Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2023

Enumeration DateAugust 5, 2021

Last NPPES UpdateJuly 31, 20243 updates tracked since enumeration

NPPES CertifiedJuly 31, 2024

✔ NPI 1861166621 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 OK · 5184

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.

6161 S YALE AVE, Tulsa, OK 74136

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Accepted Insurance

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

Alexandra Herndon Pac 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 ID2961845722

PECOS Enrollment IDI20240208001700

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.

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370091

Location6161 South YaleTulsa, OK 74136 · Tulsa County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74136 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

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.

ALEX BRYAN OLSEN M.D.

Surgery (Surgical Critical Care)