Individual provider Active NPI

Alexandra Rae Mandel, PA-C

  • Medical Physician Assistant
  • Lakewood, CO
National Provider Identifier
1700421898
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.0006719 Issued in CO
Practice address
255 S Routt St Ste 420
Lakewood, CO 80228-2271
Phone
(303) 985-2550
NPI assigned
Nov 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA.0006719 CO Primary

Addresses

Primary practice location

255 S Routt St Ste 420
Lakewood, CO 80228-2271

Mailing address

10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366

Other practice location 1

10535 Park Meadows Blvd Ste 102
Lone Tree, CO 80124-8456
Phone (303) 695-1211

Other names 1

  • Alexandra Rae Cohen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220830000453 CO Practitioner - Physician Assistant 3577998483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Urology PLLCGroup PAC ID 2365346558, 58 clinicians

Practice addresses (Care Compare)

255 S Routt St
Suite 420
Lakewood, CO 80228-2271
Phone (303) 985-2550

Merit-based Incentive Payment System (MIPS)

Final score
76.66 of 100Reported as group
Quality
70.05
Promoting interoperability
77
Improvement activities
40
Cost
71.32

National Provider Directory

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

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1700421898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 GRAND CENTRAL AVE STE 220",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S ROUTT ST STE 420",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282271",
            "telephone_number": "303-985-2550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10535 Park Meadows Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801248456",
            "country_code": "US",
            "telephone_number": "303-695-1211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDEL",
        "first_name": "ALEXANDRA",
        "middle_name": "RAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0006719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "COHEN",
            "middle_name": "RAE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.