Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alec Neitzel, PA-C

Individual provider Physician Assistant · NPI 1366260820

Alec Neitzel, PA-C is a Physician Assistant in Lees Summit, Missouri. Graduated from Southern Illinois University School of Medicine in 2024, 2 years ago. Practices with Cornerstone Dermatology and Surgery Group PC, an 8-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
2
Trained at
Southern Illinois University School of Medicine
Licensed in
MO
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

601 NW Obrien Rd
Lees Summit, MO 64063-1806
Phone: (816) 287-1528
Fax: (343) 503-0640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2026011607 (MO)

Record details

NPI number1366260820
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 2, 2024
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Cornerstone Dermatology And Surgery Group Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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