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

Alexis Rose Vavala

Individual provider Physician Assistant · NPI 1003416165

Alexis Rose Vavala is a Physician Assistant in Warren, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Heritage Valley Multispecialty Group Inc, a 233-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020

Practice location Address checks out

1885 Market St
Warren, PA 16365-1277
Phone: (814) 723-1832
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1003416165
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 28, 2020
Last updated in NPPESOctober 24, 2022
Certification dateOctober 24, 2022
Mailing address1885 Market St, Warren, PA 16365-1277

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Heritage Valley Multispecialty Group Inc — 233 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Warren