Active NPI
Alexandra Leigh Andreasen, FNP-C
- Primary Care Nurse Practitioner
- Bozeman, MT
National Provider Identifier
1023746641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 10858571-4405
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Odyssey House Inc | Current | 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
- 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Salt Lake City, UT
- NPI 1033143706
-
- Family Medicine Physician
- Salt Lake City, UT
- NPI 1407481245
-
- Addiction Medicine (Family Medicine) Physician
- Seattle, WA
- NPI 1194342162
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.