Individual provider Active NPI

Alexis Rose Goss, MD

  • Family Medicine Physician
  • Titusville, FL
National Provider Identifier
1154941334
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME176250 Issued in FL
Practice address
250 Harrison St
Titusville, FL 32780-5026
Phone
(321) 268-6868
NPI assigned
Apr 17, 2020
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME176250 FL Primary
Family Medicine Physician 207Q00000X 77322 WI

Addresses

Primary practice location

250 Harrison St
Titusville, FL 32780-5026

Mailing address

951 N Washington Ave
Titusville, FL 32796-2163
Phone (321) 268-6111

Other practice location 1

5005 Port St John Pkwy
Port St John, FL 32927-4305
Phone (321) 268-6868

Other names 1

  • Alexis Rose Baker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20230818003287 WI Practitioner - Family Practice 7416319652

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Wisconsin, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

725 American Ave
Waukesha, WI 53188-5099

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME176250FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Brevard Medical Support, Inc CurrentSince Sep 1, 2026 Accepting new patients
Prohealth Waukesha Memorial Hospital, Inc. PastSince Apr 19, 2020 Accepting new patients

Locations

5005 Port St John Pkwy
Ste 2100
Port St John, FL 32927
Phone (321) 268-6834

250 Harrison St
Titusville, FL 32780
Phone (321) 268-6868

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

Interoperability endpoints

  • Direct secure messaging: abaker118774@direct.phci.org

Organizations & group practices 2

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 1

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": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1154941334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 N WASHINGTON AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962163",
            "telephone_number": "321-268-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 HARRISON ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327805026",
            "telephone_number": "321-268-6868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5005 Port St John Pkwy",
            "address_purpose": "LOCATION",
            "city": "Port St John",
            "state": "FL",
            "postal_code": "329274305",
            "country_code": "US",
            "telephone_number": "321-268-6868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOSS",
        "first_name": "ALEXIS",
        "middle_name": "ROSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME176250",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "77322",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "BAKER",
            "middle_name": "ROSE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Titusville, FL

Sources for this page

Verify at the official NPI Registry.