Individual provider Active NPI

Alexis Ann Heaton, PA-C

  • Physician Assistant
  • Bellevue, NE
National Provider Identifier
1205512860
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3233 Issued in NE
Practice address
3503 Samson Way Ste 108
Bellevue, NE 68123-4303
Phone
(402) 592-2055
NPI assigned
Jun 27, 2023
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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 3233 NE Primary

Addresses

Primary practice location

3503 Samson Way Ste 108
Bellevue, NE 68123-4303

Mailing address

3503 Samson Way Ste 108
Bellevue, NE 68123-4303
Phone (402) 592-2055

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250308000276 NE Practitioner - Physician Assistant 2466973391 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Community HospitalGroup PAC ID 7113831926, 27 clinicians
The Asthma and Allergy Center PCGroup PAC ID 6002898517, 3 clinicians

Practice addresses (Care Compare)

1301 Grundman Blvd
Suite a
Nebraska City, NE 68410-3320
Phone (402) 873-4242

3503 Samson Way
Suite 108
Bellevue, NE 68123-4303
Phone (402) 592-2055

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Asthma & Allergy Center PC CurrentSince Mar 31, 2026 Accepting new patients
St. Mary's Community Hospital CurrentSince Mar 18, 2025 Accepting new patients

Locations

3503 Samson Way
Ste 108
Bellevue, NE 68123
Phone (402) 592-2055

1301 Grundman Blvd
Nebraska City, NE 68410
Phone (402) 713-0110

1301 Grundman Blvd
Ste A
Nebraska City, NE 68410
Phone (402) 873-3321

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJAHAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IJJGBA

Organizations & group practices 3

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": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1205512860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 SAMSON WAY STE 108",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681234303",
            "telephone_number": "402-592-2055",
            "fax_number": "402-592-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 SAMSON WAY STE 108",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681234303",
            "telephone_number": "402-592-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATON",
        "first_name": "ALEXIS",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "3233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

Verify at the official NPI Registry.