Individual provider Active NPI

Alexa Layne Hirschfeld, PNP-PC

  • Pediatric Nurse Practitioner
  • Perrysburg, OH
National Provider Identifier
1013552736
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN.CNP.025123 Issued in OH
Practice address
25950 Dixie Hwy Ste 400
Perrysburg, OH 43551-2983
Phone
(567) 585-0010
NPI assigned
Nov 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APRN.CNP.025123 OH Primary

Addresses

Primary practice location

25950 Dixie Hwy Ste 400
Perrysburg, OH 43551-2983

Mailing address

4604 Brookline Rd
Sylvania, OH 43560-3303
Phone (419) 376-8471

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ahirschfeld51815@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200115002955 OH Practitioner - Nurse Practitioner 9830524099 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.025123OHMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Dec 1, 2019 Accepting new patients
Promedica Central Physicians CurrentSince Dec 1, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

25950 Dixie Hwy
Ste 400
Perrysburg, OH 43551
Phone (567) 585-0010

25950 Dixie Hwy
Perrysburg, OH 43551
Phone (567) 585-0010

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2150 W Central Ave
Toledo, OH 43606
Phone (419) 291-2200

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

2142 N Cove Blvd
Fl 3
Toledo, OH 43606
Phone (419) 291-3604

Interoperability endpoints

  • Direct secure messaging: ahirschfeld51815@direct.promedica.org

Organizations & group practices 3

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": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1013552736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 BROOKLINE RD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435603303",
            "telephone_number": "419-376-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25950 DIXIE HWY STE 400",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435512983",
            "telephone_number": "567-585-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCHFELD",
        "first_name": "ALEXA",
        "middle_name": "LAYNE",
        "credential": "PNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "APRN.CNP.025123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahirschfeld51815@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.