Individual provider Active NPI

Alexandra Leigh Andreasen, FNP-C

  • Primary Care Nurse Practitioner
  • Bozeman, MT
National Provider Identifier
1023746641
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
10858571-4405 Issued in UT
Practice address
5 W Mendenhall St Ste 202
Bozeman, MT 59715-3566
Phone
(406) 729-4225
NPI assigned
Aug 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 10858571-4405 UT Primary

Addresses

Primary practice location

5 W Mendenhall St Ste 202
Bozeman, MT 59715-3566

Mailing address

1165 S 600 E
Payson, UT 84651-4561
Phone (734) 489-4993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20221011001553 UT Practitioner - Nurse Practitioner 1850767146 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Odyssey House Inc CurrentSince Aug 15, 2022 Accepting new patients
Odyssey House Inc Current Accepting new patients
Bicycle Health Medical Group PA Past Accepting new patients

Locations

344 E 100 S
Ste 301
Slc, UT 84111
Phone (801) 428-3402

117 W 400 S
Slc, UT 84101
Phone (385) 200-0110

340 E 100 S
Slc, UT 84111
Phone (801) 322-3397

Interoperability endpoints

  • Direct secure messaging: alexandra.andreasen.1@18731.direct.athenahealth.com

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": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1023746641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 S 600 E",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846514561",
            "telephone_number": "734-489-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W MENDENHALL ST STE 202",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153566",
            "telephone_number": "406-729-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREASEN",
        "first_name": "ALEXANDRA",
        "middle_name": "LEIGH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "UT",
            "license": "10858571-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.