NPIMap

Individual provider Active NPI

Alexie Harms, PA-C

  • Physician Assistant
  • Crosby, ND
National Provider Identifier
1043687049
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PAC1020 Issued in ND
Practice address
702 1St St SW
Crosby, ND 58730-3329
Phone
(701) 965-6384
NPI assigned
Aug 25, 2015
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1209645 ND
Physician Assistant 363A00000X PAC1020 ND Primary
Occupational Therapist 225X00000X 1434 ND

Addresses

Primary practice location

702 1St St SW
Crosby, ND 58730-3329

Mailing address

PO Box 2392
Williston, ND 58802-2392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240122003277 ND Practitioner - Physician Assistant 9335456581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of North Dakota School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes HospitalGroup PAC ID 4486565645, shared by 3 NPIs, 5 clinicians

Practice addresses (Care Compare)

702 1St St SW
Crosby, ND 58730-0010

702 1St St SW
Crosby, ND 58730-3329
Phone (701) 965-6349

C PO Box
Crosby, ND 58730-0658

PO Box
Crosby, ND 58730-0010

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1209645NDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Hospital Physician Assistant CurrentSince Jul 11, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1043687049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2392",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588022392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 1ST ST SW",
            "city": "CROSBY",
            "state": "ND",
            "postal_code": "587303329",
            "telephone_number": "701-965-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMS",
        "first_name": "ALEXIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ND",
            "license": "1209645",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ND",
            "license": "PAC1020",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "1434",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crosby, ND

Sources for this page

Verify at the official NPI Registry.