Individual provider Active NPI

Alkiesha Tyree Collins, PA

  • Physician Assistant
  • Clinton, MD
National Provider Identifier
1184804650
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0008169 Issued in MD
Practice address
8926 Woodyard Rd Ste 602
Clinton, MD 20735-4235
Phone
(301) 868-9414
Fax
(301) 868-6055
NPI assigned
Nov 13, 2007
Last updated
Apr 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110008203 VA
Physician Assistant 363A00000X C0008169 MD Primary

Addresses

Primary practice location

8926 Woodyard Rd Ste 602
Clinton, MD 20735-4235

Mailing address

8926 Woodyard Rd Ste 602
Clinton, MD 20735-4235
Phone (301) 868-9414

Other practice location 1

3261 Old Washington Rd Ste 1020
Waldorf, MD 20602-3228
Phone (301) 868-4326

Other practice location 2

8101 Hinson Farm Rd Ste 107
Alexandria, VA 22306-3400
Phone (703) 360-3100

Other identifiers 1

IdentifierTypeStateIssuer
5601005170OtherMISTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, DC, MD3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20071217000145 MI Practitioner - Physician Assistant 1153411095 Reassigns benefits to 1 organization
I20211027001193 DC Practitioner - Physician Assistant 1153411095 Reassigns benefits to 1 organization
I20220602002684 MD Practitioner - Physician Assistant 1153411095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan Nephrology Associates PCGroup PAC ID 3971567793, 10 clinicians

Practice addresses (Care Compare)

3261 Old Washington Rd
Suite 1020
Waldorf, MD 20602-3228
Phone (301) 868-4326

8926 Woodyard Rd
Suite 602
Clinton, MD 20735-4235
Phone (301) 868-9414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
52681CAMDGeneral Practice Dentistry
C0008169MDMDPhysician Assistant
0110008203VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Gould Medical Foundation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: acollins315451@hisp.ehr.sutterhealth.org
  • Direct secure messaging: acollins34792@direct.acumenmd.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1184804650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8926 WOODYARD RD STE 602",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354235",
            "telephone_number": "301-868-9414",
            "fax_number": "301-868-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8926 WOODYARD RD STE 602",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354235",
            "telephone_number": "301-868-9414",
            "fax_number": "301-868-6055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3261 Old Washington Rd Ste 1020",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206023228",
            "country_code": "US",
            "telephone_number": "301-868-4326",
            "fax_number": "301-637-3115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8101 Hinson Farm Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223063400",
            "country_code": "US",
            "telephone_number": "703-360-3100",
            "fax_number": "703-360-6117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "ALKIESHA",
        "middle_name": "TYREE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110008203",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0008169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5601005170",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

Verify at the official NPI Registry.