Active NPI
Alexis Novella Davis, MD
- Vascular Surgery Physician
- Lincoln, NE
National Provider Identifier
1114544061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- BP10072193
- Practice address
- 1500 S 48TH St Ste 400
Lincoln, NE 68506-1278 - Phone
- (402) 481-8500
- NPI assigned
- Jun 26, 2020
- Last updated
- Jun 6, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | BP10072193 | TX | Primary |
Addresses
Primary practice location
1500 S 48TH St Ste 400
Lincoln, NE 68506-1278
Mailing address
1600 S 48TH St Ste 600
Lincoln, NE 68506-1299
Phone (832) 609-9287
Other practice location 1
301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-0531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 S 48TH St
400 Bryan Heart Vascular Surgery
Lincoln, NE 68506-1278
Phone (402) 481-8500
Hospital & facility affiliations
- Bryan Medical Center
- Beatrice Community Hospital & Health Center, Inc
- Jennie M Melham Memorial Medical Center
- Lexington Regional Health Center
- York General Health Care Services
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 11 |
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 57 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10072193 | TX | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera St Anthonys Hospital | Current | Accepting new patients | |
| Avera St Anthonys Hospital | Current | Accepting new patients | |
| Integrated Cardiology Group LLC | Vascular Surgery | Current | Accepting new patients |
| Bryan Medical Center | Vascular Surgery | Past | Accepting new patients |
Locations
1500 S 48th St
Ste 400
Lincoln, NE 68506
Phone (402) 481-8500
1600 S 48th St
Ste 600
Lincoln, NE 68506
Phone (402) 416-9327
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.
-
dba Bryan Heart
- Cardiovascular Disease Physician
- Lincoln, NE
- NPI 1982653515
Vascular Surgery
-
- Critical Access Hospital
- O'Neill, NE
- NPI 1891738936
-
dba Avera Medical Group Spencer
- Rural Health Clinic/Center
- Spencer, NE
- NPI 1629344692
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lincoln, NE
- NPI 1629157789
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Beatrice, NE
- NPI 1184642894
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1528006103
-
dba Bryan Medical Center Laboratory
- Clinical Medical Laboratory
- Lincoln, NE
- NPI 1689203077
Hospital
-
- Critical Access Hospital
- Broken Bow, NE
- NPI 1538232244
-
- Critical Access Hospital
- Lexington, NE
- NPI 1467417352
-
- Critical Access Hospital
- York, NE
- NPI 1588764898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749168000000",
"number": "1114544061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 S 48TH ST STE 600",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685061299",
"telephone_number": "832-609-9287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S 48TH ST STE 400",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685061278",
"telephone_number": "402-481-8500"
}
],
"practiceLocations": [
{
"address_1": "301 University Blvd",
"address_purpose": "LOCATION",
"city": "Galveston",
"state": "TX",
"postal_code": "775555302",
"country_code": "US",
"telephone_number": "409-772-0531",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "ALEXIS",
"middle_name": "NOVELLA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-26",
"last_updated": "2025-06-06",
"certification_date": "2025-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "TX",
"license": "BP10072193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.