ALEXA MARIE DATKO MD
NPI 1952047763
Family Medicine in Casper, WY
About Alexa Marie Datko Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXA MARIE DATKO MD (NPI 1952047763) is an individual family medicine provider in Casper, Wyoming, licensed in Wyoming (199-T1) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Alexa Marie Datko Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Alexa Datko reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90041
- Reassigned Medicare billing, California enrollment
- 75 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 82601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Alexa Datko's NPI number?
The NPI number for Alexa Datko is 1952047763. It was assigned to this individual provider in the NPPES registry on May 5, 2022.
Where is Alexa Datko located?
Alexa Datko practices at 1522 E A St, Casper, WY 82601. The listed phone number is (307) 234-6161.
What is Alexa Datko's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Alexa Datko enrolled in Medicare?
Yes. Alexa Datko 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.
Which organization bills Medicare for Alexa Datko's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexa Datko reassigns Medicare benefits to Gracelight Community Health (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexa Datko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Alexa Datko was last updated on June 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Alexa Marie Datko, MD · NPI 1952047763
Family Medicine physician in Casper, Wyoming. Individual provider, active in the CMS NPPES registry since May 5, 2022.
## Identity
- **NPI:** 1952047763 (Entity type: Individual)
- **Enumerated:** May 5, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 199-T1 (Wyoming)
- **Sole proprietor:** No
## Practice location
- **Address:** 1522 E A ST, Casper, WY 82601-2221
- **Phone:** (307) 234-6161
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Gracelight Community Health (NPI 1801967062, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1952047763) · Data from the CMS NPPES public registry.