Individual provider Active NPI

Alexis Niemann Kirner, AU.D.

  • Audiologist
  • Hannibal, MO
National Provider Identifier
1164959862
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2018015919 Issued in MO
Practice address
100 Medical Dr
Hannibal, MO 63401
Phone
(525) 057-3221
Fax
(573) 231-3824
NPI assigned
May 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2018015919 MO Primary
Audiologist 231H00000X 147001670 IL

Addresses

Primary practice location

100 Medical Dr
Hannibal, MO 63401

Mailing address

100 Medical Dr
Hannibal, MO 63401-6877
Phone (573) 221-5250

Other practice location 1

105 N 36th St
Quincy, IL 62301-3704
Phone (217) 221-8550

Other practice location 2

12255 DePaul Drive
Suite 860 North
Bridgeton, MO 63044
Phone (314) 394-1911

Other names 1

  • Alexis Noelle Niemann Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rdoctor@hannibalclinic.directbygreenway.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180524001714 MO Practitioner - Qualified Audiologist 5799040614 Reassigns benefits to 1 organization
I20190311002425 IL Practitioner - Qualified Audiologist 5799040614 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of South Alabama College of Medicine, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Blessing HospitalGroup PAC ID 3072422534, 414 clinicians

Practice addresses (Care Compare)

100 Medical Dr
Hannibal, MO 63401-6877
Phone (217) 223-8400

105 N 36TH St
Quincy, IL 62301-3704
Phone (217) 221-8550

927 Broadway St
Quincy, IL 62301-2719
Phone (217) 224-6423

Hospital & facility affiliations

  • Blessing Hospital Hospital, Quincy, IL, CCN 140015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018015919MOMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Blessing Hospital CurrentSince May 1, 2022 Accepting new patients
Blessing Hospital CurrentSince May 1, 2022 Accepting new patients
Hearing Doctors of Illinois, Inc. Audiologist CurrentSince Dec 2, 2019 Accepting new patients
Blessing Hospital Past Accepting new patients
Audiology Consultants, LLC Audiologist PastSince Sep 25, 2019 Accepting new patients
21Stcentury Hearing Center Past Accepting new patients

Locations

113 E Carroll St
Macomb, IL 61455
Phone (309) 421-0819

1005 Broadway St
Quincy, IL 62301

3825 Maine St
Ste 2
Quincy, IL 62305
Phone (217) 221-8550

105 N 36th St
Quincy, IL 62301
Phone (217) 221-8550

101 Medical Dr
Hannibal, MO 63401

100 Medical Dr
Hannibal, MO 63401

103 E Commercial St
Kahoka, MO 63445
Phone (660) 727-3377

Interoperability endpoints

  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1164959862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL DR",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016877",
            "telephone_number": "573-221-5250",
            "fax_number": "573-231-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL DR",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "63401",
            "telephone_number": "525-057-3221",
            "fax_number": "573-231-3824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 N 36th St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "IL",
            "postal_code": "623013704",
            "country_code": "US",
            "telephone_number": "217-221-8550",
            "fax_number": "217-292-6564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12255 DePaul Drive",
            "address_2": "Suite 860 North",
            "address_purpose": "LOCATION",
            "city": "Bridgeton",
            "state": "MO",
            "postal_code": "63044",
            "country_code": "US",
            "telephone_number": "314-394-1911",
            "fax_number": "314-735-4165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRNER",
        "first_name": "ALEXIS",
        "middle_name": "NIEMANN",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-12",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2018015919",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147001670",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdoctor@hannibalclinic.directbygreenway.com",
            "affiliation": "N",
            "address_1": "100 Medical Dr",
            "city": "Hannibal",
            "state": "MO",
            "country_code": "US",
            "postal_code": "63401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "NIEMANN",
            "middle_name": "NOELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hannibal, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.