Alexis Chryse Michopoulos, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DR.0054639 Issued in CO

Practice address

17230 Jackson Creek Pkwy
Ste 300
Monument, CO 80132-7301

Phone

(719) 571-7000

Fax

(719) 571-7059

NPI assigned

Jul 5, 2012

Last updated

Oct 14, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Healthone Clinic Services - Primary Care LLCGroup PAC ID 7012804446, 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alexis.michopoulos@hca3.eclinicaldirectplus.com

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.

• Healthone Clinic Services - Primary Care LLC

  • Family Medicine Physician
  • Denver, CO
  • NPI 1518141761
  Medicare reassignment Care Compare group NPD
• Peak Vista Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Colorado Springs, CO
  • NPI 1730166034
  Medicare reassignment NPD
• Peak Vista Community Health Centers

  dba Behavioral Health at Inside Out Youth Services

  • Federally Qualified Health Center (FQHC)
  • Colorado Springs, CO
  • NPI 1871347443
  NPD

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1073878146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17230 JACKSON CREEK PKWY",
            "address_2": "STE 300",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801327301",
            "telephone_number": "719-571-7000",
            "fax_number": "719-571-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17230 JACKSON CREEK PKWY",
            "address_2": "STE 300",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801327301",
            "telephone_number": "719-571-7000",
            "fax_number": "719-571-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHOPOULOS",
        "first_name": "ALEXIS",
        "middle_name": "CHRYSE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0054639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17209854",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail McWhirter
• Melissa Riesling LLC
• Jennifer Ann Mendenhall, PHARMD
• Karen A Merrill, MS, RD
• Michael J. Saxton, DMD, LLC
• Lindsay Miller, LPC
• Sara Jean Miller, OTR/L
• Sarah Miller
• Mindfulmedicinepllc (Medical Clinic)
• Mitchell B. Liester, M.D., P.C.

• Family Medicine Physician in Monument, CO
• Providers in Monument, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.