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Alexandra Hayden Revlett, PA-C

NPI 1285351916ActiveIndividual· Physician Assistant, Medical· Tullahoma, TN

Physician Assistant, Medical (PA-C) in Tullahoma, Tennessee, trained at Lincoln Memorial University Medical Department (class of 2022). Their prescriptions cost Medicare Part D more than their services did: $104,405 for 943 claims, against $9,189 paid for services in 2024.

Overview

NPI1285351916
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorYes
NPI issuedOct 24, 2022
Last updated in NPPESMar 30, 2026
Certified by providerMar 30, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Medical Primary363AM0700X5232TN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (TN)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients110
Services billed126 across 11 procedure codes
Paid by Medicare$9,189

Part D prescriptions in 2024

Prescriptions (claims)943 · 1,981 30-day fills
Patients196
Total drug cost$104,405
Generic share83% of claims

Medicare sources and data years

Education and affiliations

Medical schoolLincoln Memorial University Medical Department
Graduation year2022
Medicare specialtyPhysician Assistant

Medical groups

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant, Medical providers in Tullahoma

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