Individual provider Active NPI

Alexis Vonwiegen, ARNP

  • Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1215905948
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3823P Issued in KY
Practice address
125 E Maxwell St
Suite 300
Lexington, KY 40508-2678
Phone
(859) 278-8772
Fax
(859) 422-4361
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3823P KY Primary

Addresses

Primary practice location

125 E Maxwell St
Suite 300
Lexington, KY 40508-2678

Mailing address

P O Box 23823
Lexington, KY 40523-2678
Phone (859) 278-8772

Other identifiers 5

IdentifierTypeStateIssuer
000000490013OtherBCBS LPC
7023444OtherAETNA
000000321163OtherBCBS HHC
78009024MedicaidKY
P00115687OtherRAILROAD MED. HHC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210308001175 FL Practitioner - Nurse Practitioner 3779571286 Reassigns benefits to 1 organization
I20251212000737 MA Practitioner - Nurse Practitioner 3779571286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Physicians of Massachusetts PCGroup PAC ID 4183038359, 84 clinicians

Practice addresses (Care Compare)

123 Summer St
Worcester, MA 01608-1216
Phone (508) 363-9394

Hospital & facility affiliations

  • St Vincent Hospital Hospital, Worcester, MA, CCN 220176
  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3823PKYMDNurse Practitioner

Practice roles (6 of 8)

OrganizationSpecialtyStatusNew patients
Hospital Physician Services - Southeast Professional Corporation Nurse Practitioner CurrentSince Jan 1, 2021 Accepting new patients
Hospitalist Physicians of Massachusetts PC Nurse Practitioner CurrentSince Jan 1, 2026 Accepting new patients
Marshall Emergency Services Associates, PLLC Nurse Practitioner Past Accepting new patients
VHS Acquisition Subsidiary Number 7 Inc Past Accepting new patients
Lexington Primary Care LLC Nurse Practitioner PastSince Jan 5, 2004 Accepting new patients
Strauss Family Practice, LLC Past Accepting new patients

Locations

601 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 303-2200

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: avonwiegen127561@adventhealth.direct-ci.com

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 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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215905948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 23823",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405232678",
            "telephone_number": "859-278-8772",
            "fax_number": "859-422-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E MAXWELL ST",
            "address_2": "SUITE 300",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405082678",
            "telephone_number": "859-278-8772",
            "fax_number": "859-422-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONWIEGEN",
        "first_name": "ALEXIS",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3823P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  LPC",
            "identifier": "000000490013",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7023444",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  HHC",
            "identifier": "000000321163",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78009024",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MED.  HHC",
            "identifier": "P00115687",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.