Alex Michael Carr, FNP
Individual provider Active NPI Family Nurse Practitioner · Montpelier, ID
NPI 1013623529 · NPPES record last updated Jan 27, 2023
Key facts
- NPI
- 1013623529
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 56200 (ID)
- Practice address
- 164 S 5TH St
Montpelier, ID 83254-1597 - Phone
- (208) 847-1630
- NPI assigned
- Jan 27, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bear Lake County Memorial Hospital
Franklin County Medical Center
Practice addresses (Care Compare)
164 S 5TH St
Montpelier, ID 83254-1557
288 S Paradise Pkwy
Garden City, UT 84028-7909
Phone (435) 255-1630
44 N 1St
Preston, ID 83263-1326
Phone (208) 847-4421
64 N 1St
Preston, ID 83263-1326
Phone (208) 852-3662
Hospital & facility affiliations
- Bear Lake Memorial Hospital
- Franklin County Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ID, UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230608001635 | ID | Practitioner - Nurse Practitioner | 8022475938 | Reassigns benefits to 4 organizations |
| I20250319004180 | UT | Practitioner - Nurse Practitioner | 8022475938 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56200 | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bear Lake County Memorial Hospital | Family Medicine | Current |
Accepting new patients |
| Bear Lake County Memorial Hospital | Current | Accepting new patients | |
| Bear Lake County Memorial Hospital | Current |
Accepting new patients | |
| Bear Lake County Memorial Hospital | Current | Accepting new patients | |
| Franklin County Medical Center | Current |
Accepting new patients | |
| Franklin County Medical Center | Family Medicine | Current |
Accepting new patients |
| Mountain View Hospital LLC | Past |
Accepting new patients | |
| Franklin County Medical Center | Past | Accepting new patients |
Locations
164 S 5th St
Montpelier, ID 83254
Phone (208) 847-1630
822 Washington St
Montpelier, ID 83254
Phone (208) 847-4404
64 N 1st E
Ste 200
Preston, ID 83263
Phone (208) 852-3662
64 N 1st E
Ste 100
Preston, ID 83263
Phone (208) 852-0137
44 N 1st E
Preston, ID 83263
Phone (208) 852-0137
Interoperability endpoints
- acarr632350@direct.ochin.org
- alex.carr.1@17373.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 56200 | ID | Yes |
Addresses
Primary practice location
164 S 5TH St
Montpelier, ID 83254-1597
Mailing address
PO Box 293
Georgetown, ID 83239-0293
Phone (208) 705-0229
Other providers in Montpelier, ID
- Joshua Seth Bowman
- Broulims Supermarkets, LLC
- Robert Wayne Brown
- Justin Richard Brunner
- Gabriel Neal Bush
- Bonnie Colleen Caywood
- Clay I. Campbell M.D.,P.C.
- Complete Health and Wellness
- Peter Melvin Crane
- William Crane
All providers in Montpelier, ID · Family Nurse Practitioner in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.