Individual provider Active NPI

Alexandra Varga

  • Family Nurse Practitioner
  • Clinton Township, MI
National Provider Identifier
1003426818
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704414360 Issued in MI
Practice address
39425 Garfield Rd Ste 24
Clinton Township, MI 48038-4651
Phone
(586) 649-3181
NPI assigned
Aug 6, 2020
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0026932 OH
Family Nurse Practitioner 363LF0000X 4704414360 MI Primary

Addresses

Primary practice location

39425 Garfield Rd Ste 24
Clinton Township, MI 48038-4651

Mailing address

39425 Garfield Rd Ste 24
Clinton Township, MI 48038-4651

Other practice location 1

60 N Stygler Rd
Gahanna, OH 43230-2435
Phone (614) 475-2014

Other practice location 2

501 Morris St
Charleston, WV 25301-1326
Phone (304) 647-6006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, MI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230711001515 WV Practitioner - Nurse Practitioner 6305265778 Reassigns benefits to 1 organization
I20240919001794 MI Practitioner - Nurse Practitioner 6305265778 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altea Medical Michigan PLLCGroup PAC ID 3678073988, 9 clinicians
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

Practice addresses (Care Compare)

1500 Spring St
Petoskey, MI 49770-9295
Phone (888) 408-7008

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704414360MIMDFamily Nurse Practitioner
0026932OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Altea Medical Michigan PLLC CurrentSince Mar 1, 2026 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Jul 10, 2023 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Jul 10, 2023 Accepting new patients
Altea Medical Maryland LLC CurrentSince Mar 1, 2026 Accepting new patients
Ih Physician Services, PC CurrentSince Jan 6, 2025 Accepting new patients
Ih Physician Services PC CurrentSince Jan 6, 2025 Accepting new patients

Locations

39425 Garfield Rd
Ste 22A
Clinton Township, MI 48038
Phone (586) 649-3181

695 Kenmoor Ave SE
Ste B1
Grand Rapids, MI 49546
Phone (616) 438-9902

1320 Waldo Ave
Ste 300
Midland, MI 48642
Phone (586) 649-3181

1500 Spring St
Petoskey, MI 49770
Phone (231) 344-6600

26211 Central Park Blvd
Ste 600
Southfield, MI 48076
Phone (248) 936-2075

23600 Northline Rd
Taylor, MI 48180
Phone (734) 287-2840

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

Organizations & group practices 7

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": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1003426818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39425 GARFIELD RD STE 24",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39425 GARFIELD RD STE 24",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384651",
            "telephone_number": "586-649-3181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 N Stygler Rd",
            "address_purpose": "LOCATION",
            "city": "Gahanna",
            "state": "OH",
            "postal_code": "432302435",
            "country_code": "US",
            "telephone_number": "614-475-2014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Morris St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011326",
            "country_code": "US",
            "telephone_number": "304-647-6006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGA",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0026932",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704414360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.