Individual provider Active NPI

Alexis Alicia Hernandez, PA-C

  • Physician Assistant
  • Wyandotte, MI
National Provider Identifier
1114506094
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601010233 Issued in MI
Practice address
2070 Biddle Ave
Wyandotte, MI 48192-4080
Phone
(734) 246-6000
NPI assigned
Apr 6, 2021
Last updated
Mar 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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 5601010233 MI Primary

Addresses

Primary practice location

2070 Biddle Ave
Wyandotte, MI 48192-4080

Mailing address

1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (313) 874-4806

Other practice location 1

9323 Park Ave
Allen Park, MI 48101-1593
Phone (313) 570-3045

Other practice location 2

14671 Telegraph Rd
Redford, MI 48239-3300
Phone (313) 948-3030

Other names 1

  • Alexis Alicia Oskarek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210603002388 MI Practitioner - Physician Assistant 2163821661 Reassigns benefits to 14 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Wyandotte HospitalGroup PAC ID 2264334499, 194 clinicians

Practice addresses (Care Compare)

2070 Biddle Ave
Suite 2
Wyandotte, MI 48192-4080
Phone (734) 284-7482

2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone (734) 246-6000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Urgent Care PC CurrentSince Jun 1, 2021 Accepting new patients
Henry Ford Wyandotte Hospital CurrentSince Mar 1, 2024 Accepting new patients
Henry Ford Wyandotte Hospital CurrentSince Mar 1, 2024 Accepting new patients
Henry Ford Health System Physician Assistant CurrentSince Nov 1, 2024 Accepting new patients
Henry Ford Health System CurrentSince Nov 1, 2024 Accepting new patients
Farmington Hills Urgent Care Walk-in Clinic PC PastSince Jul 31, 2022 Accepting new patients
Henry Ford Wyandotte Hospital Past Accepting new patients

Locations

23050 West Rd
Brownstown Twp, MI 48183
Phone (734) 287-9880

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-4806

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

23234 Ecorse Rd
Taylor, MI 48180
Phone (313) 292-8400

6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000

2070 Biddle Ave
Ste 2
Wyandotte, MI 48192
Phone (734) 284-7482

2070 Biddle Ave
Ste 200
Wyandotte, MI 48192
Phone (734) 225-9100

2070 Biddle Ave
Ste 3
Wyandotte, MI 48192
Phone (734) 225-9187

Interoperability endpoints

  • Direct secure messaging: aoskarek331381@direct.hfhs.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 3

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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1114506094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "313-874-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 BIDDLE AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481924080",
            "telephone_number": "734-246-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9323 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Allen Park",
            "state": "MI",
            "postal_code": "481011593",
            "country_code": "US",
            "telephone_number": "313-570-3045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14671 Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Redford",
            "state": "MI",
            "postal_code": "482393300",
            "country_code": "US",
            "telephone_number": "313-948-3030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ALEXIS",
        "middle_name": "ALICIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "OSKAREK",
            "middle_name": "ALICIA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wyandotte, MI

Sources for this page

Verify at the official NPI Registry.