Individual provider Active NPI

Alexandra Nicole Ayer, AGACNP- BC

  • Adult Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1043962921
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
10005942 Issued in OR
Practice address
2222 N Nevada Ave Ste 1
Colorado Springs, CO 80907-6794
Phone
(719) 776-5000
NPI assigned
Jan 22, 2022
Last updated
Apr 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0996553-NP CO
Acute Care Nurse Practitioner 363LA2100X APN.0996553-NP CO
Adult Health Nurse Practitioner 363LA2200X 10005942 OR Primary

Addresses

Primary practice location

2222 N Nevada Ave Ste 1
Colorado Springs, CO 80907-6794

Mailing address

5306 Kissing Camels Dr Apt H4
Colorado Springs, CO 80904-1019
Phone (440) 821-8496

Other practice location 1

2551 W 84th Ave
Westminster, CO 80031-3807
Phone (303) 561-5010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230515003344 OR Practitioner - Nurse Practitioner 1759776578 Reassigns benefits to 1 organization
I20231129000524 WA Practitioner - Nurse Practitioner 1759776578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Salmon Creek HospitalGroup PAC ID 0446295711, 309 clinicians
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians

Practice addresses (Care Compare)

2121 NE 139TH St
Vancouver, WA 98686-2316

2211 NE 139TH St
Vancouver, WA 98686-2742
Phone 3604871000360487

2800 N Vancouver Ave
Suite 118
Portland, OR 97227-1643
Phone (503) 413-4992

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10005942ORMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Salmon Creek Hospital CurrentSince Oct 16, 2023 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Oct 16, 2023 Accepting new patients
Legacy Clinics LLC CurrentSince Apr 3, 2023 Accepting new patients
Legacy Clinics LLC CurrentSince Apr 3, 2023 Accepting new patients

Locations

25050 SE Stark St
Ste 250
Gresham, OR 97030
Phone (503) 413-2005

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

2222 NW Lovejoy St
Ste 315
Portland, OR 97210
Phone (503) 226-6321

2800 N Vancouver Ave
Ste 118
Portland, OR 97227
Phone (503) 249-8851

19260 SW 65th Ave
Ste 280
Tualatin, OR 97062
Phone (503) 413-6166

6485 SW Borland Rd
Ste F
Tualatin, OR 97062
Phone (503) 413-3580

2121 NE 139th St
Ste 380
Vancouver, WA 98686
Phone (503) 413-6862

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Networks

  • WA PPO C-SNP
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Organizations & group practices 4

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 4

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": "1642809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1043962921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5306 KISSING CAMELS DR APT H4",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809041019",
            "telephone_number": "440-821-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 N NEVADA AVE STE 1",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076794",
            "telephone_number": "719-776-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2551 W 84th Ave",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800313807",
            "country_code": "US",
            "telephone_number": "303-561-5010",
            "fax_number": "303-561-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYER",
        "first_name": "ALEXANDRA",
        "middle_name": "NICOLE",
        "credential": "AGACNP- BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-22",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0996553-NP",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "APN.0996553-NP",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "10005942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.