Active NPI
Alexis Rae Hertz, DNP, APRN-CRNA
- Certified Registered Nurse Anesthetist
- Youngstown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN.CRNA.0021270
- Practice address
- 7630 Southern Blvd
Youngstown, OH 44512-5633 - Phone
- (330) 729-8000
- Fax
- (330) 729-8084
- NPI assigned
- Nov 3, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.440441 | OH | |
| Registered Nurse | 163W00000X | RN772525 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN.CRNA.0021270 | OH | Primary |
Addresses
Primary practice location
7630 Southern Blvd
Youngstown, OH 44512-5633
Mailing address
100 Debartolo PL Ste 200
Youngstown, OH 44512-6095
Phone (330) 729-8146
Other practice location 1
250 Debartolo Pl Ste 1000
Youngstown, OH 44512-6090
Phone (330) 729-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0126969 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7630 Southern Blvd
Youngstown, OH 44512-5633
Phone (330) 729-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.440441 | OH | MD | Registered Nurse |
| RN772525 | PA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triad Health Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Surgery Center at Southwoods, LLC | Past | Accepting new patients |
Locations
7630 Southern Blvd
Youngstown, OH 44512
Phone (330) 729-8000
100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828
1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182
7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480
250 Debartolo Pl
Ste 1000
Youngstown, OH 44512
Phone (330) 314-9100
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 and National Provider Directory roles.
-
- Plastic Surgery Physician
- Youngstown, OH
- NPI 1588925457
Nurse Anesthetist, Certified Registered
-
- Special Hospital
- Youngstown, OH
- NPI 1740398890
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Youngstown, OH
- NPI 1740398890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1174396931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 DEBARTOLO PL STE 200",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445126095",
"telephone_number": "330-729-8146",
"fax_number": "330-965-5229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7630 SOUTHERN BLVD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445125633",
"telephone_number": "330-729-8000",
"fax_number": "330-729-8084"
}
],
"practiceLocations": [
{
"address_1": "250 Debartolo Pl Ste 1000",
"address_purpose": "LOCATION",
"city": "Youngstown",
"state": "OH",
"postal_code": "445126090",
"country_code": "US",
"telephone_number": "330-729-8000",
"fax_number": "330-729-8084",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERTZ",
"first_name": "ALEXIS",
"middle_name": "RAE",
"credential": "DNP, APRN-CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-03",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.440441",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN772525",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "APRN.CRNA.0021270",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0126969",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.