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

Alexandra Menditto, PA-C

Individual provider Physician Assistant · NPI 1760030472

Alexandra Menditto, PA-C is a Physician Assistant in Colorado Springs, Colorado. Qualified in 2019, 7 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment. Licensed in Colorado and Pennsylvania.

Years since qualifying
7
Licensed in
CO, PA
In the registry since
2019
Specialties on file
2
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

1400 E Boulder St Ste 500
Colorado Springs, CO 80909-5533
Phone: (719) 364-6487
Fax: (719) 364-6488
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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 PA.0007623 (CO)
Physician Assistant Taxonomy 363A00000X · Licence MA061102 (PA)

Record details

NPI number1760030472
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 27, 2019
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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