NPIMap

Individual provider Active NPI

Alexa Popp

  • Physician Assistant
  • Clear Lake, IA
National Provider Identifier
1093415077
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
127431 Issued in IA
Practice address
1410 6TH Ave S
Clear Lake, IA 50428-2606
Phone
(641) 357-2191
NPI assigned
Mar 7, 2023
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 127431 IA Primary

Addresses

Primary practice location

1410 6TH Ave S
Clear Lake, IA 50428-2606

Mailing address

1410 6TH Ave S
Clear Lake, IA 50428-2606
Phone (641) 357-2191

Other names 1

  • Alexa Maakestad Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address apopp3954981@direct.trinity-health.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20241023001276 IA Practitioner - Physician Assistant 3577096023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Iowa Mercy ClinicsGroup PAC ID 7810809076, 304 clinicians

Practice addresses (Care Compare)

1000 4TH St SW
Mason City, IA 50401-2800

1410 6TH Ave S
Mercyone Clear Lake Family Medicine
Clear Lake, IA 50428-2606
Phone (641) 357-2191

203 S 2ND St
Mercyone Sheffield Family Medicine
Sheffield, IA 50475-5008
Phone (641) 892-4495

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Iowa Mercy Clinics Current Accepting new patients
North Iowa Mercy Clinics CurrentSince Sep 9, 2024 Accepting new patients
North Iowa Mercy Clinics CurrentSince Sep 9, 2024 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
North Iowa Mercy Clinics Past Accepting new patients

Locations

1410 6th Ave S
Clear Lake, IA 50428
Phone (641) 357-2191

1000 4th St SW
Mason City, IA 50401
Phone (641) 424-6704

Interoperability endpoints

  • Direct secure messaging: apopp3954981@direct.trinity-health.org

Organizations & group practices 6

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 7

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": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1093415077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 6TH AVE S",
            "city": "CLEAR LAKE",
            "state": "IA",
            "postal_code": "504282606",
            "telephone_number": "641-357-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 6TH AVE S",
            "city": "CLEAR LAKE",
            "state": "IA",
            "postal_code": "504282606",
            "telephone_number": "641-357-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPP",
        "first_name": "ALEXA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "127431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apopp3954981@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "MercyOne North Iowa Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1410 6th Ave S",
            "city": "Clear Lake",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504282606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALEXA",
            "last_name": "MAAKESTAD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clear Lake, IA

Sources for this page

Verify at the official NPI Registry.