Individual provider Active NPI

Alexis L Moneypenny

  • Physician Assistant
  • Akron, OH
National Provider Identifier
1124762638
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
95 Arch St Ste 300
Akron, OH 44304-1473
Phone
(330) 375-3211
NPI assigned
Apr 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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 Primary

Addresses

Primary practice location

95 Arch St Ste 300
Akron, OH 44304-1473

Mailing address

95 Arch St Ste 300
Akron, OH 44304-1473
Phone (330) 375-3211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20221018001515 OH Practitioner - Physician Assistant 4688040579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summa Physicians LLC 692 clinicians

Practice addresses (Care Compare)

525 E Market St
Akron, OH 44304-1619

Hospital & facility affiliations

  • Summa Health System Hospital, Akron, OH, CCN 360020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC CurrentSince Sep 26, 2022 Accepting new patients
Summa Physicians LLC Physician Assistant CurrentSince Sep 26, 2022 Accepting new patients
Summa Physicians LLC Physician Assistant PastSince Jul 21, 2024 Accepting new patients
Summa Physicians LLC Past Accepting new patients

Locations

95 Arch St
Ste 300
Akron, OH 44304
Phone (330) 376-7000

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

95 Arch St
Fl 3
Akron, OH 44304
Phone (330) 376-7000

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

60 North Ave
Tallmadge, OH 44278
Phone (234) 867-7761

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1124762638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 ARCH ST STE 300",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041473",
            "telephone_number": "330-375-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 ARCH ST STE 300",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041473",
            "telephone_number": "330-375-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONEYPENNY",
        "first_name": "ALEXIS",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.