NPIMap

Individual provider Active NPI

Alexis May Pavey, FNP-C

  • Family Nurse Practitioner
  • Saint Peter, MN
National Provider Identifier
1225634389
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7913 Issued in MN
Practice address
1900 Sunrise Dr Ste 200
Saint Peter, MN 56082-5385
Phone
(507) 931-2110
NPI assigned
Dec 4, 2020
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7913 MN Primary

Addresses

Primary practice location

1900 Sunrise Dr Ste 200
Saint Peter, MN 56082-5385

Mailing address

1900 Sunrise Dr Ste 200
Saint Peter, MN 56082-5385
Phone (507) 931-2110

Other practice location 1

406 S 4th St
Le Sueur, MN 56058-2207
Phone (319) 520-8011

Other practice location 2

1025 Marsh St
Mankato, MN 56001-4752
Phone (507) 625-4031

Other names 1

  • Miss Alexis May Carson Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address acarson362917@ehrdirect.mayoclinicmsg.org
Direct Messaging Address acarson362917@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211025000526 MN Practitioner - Nurse Practitioner 0143618124 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1025 Marsh St
Mankato, MN 56001-4752
Phone (507) 625-4031

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7913MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic CurrentSince Oct 17, 2023 Accepting new patients
Mayo Clinic Health System-Fairmont CurrentSince Sep 15, 2021 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region CurrentSince Sep 15, 2021 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region CurrentSince Sep 15, 2021 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
Mayo Clinic CurrentSince Oct 17, 2023 Accepting new patients

Locations

800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100

1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

1900 Sunrise Dr
Ste 200
Saint Peter, MN 56082
Phone (507) 594-6912

Interoperability endpoints

  • Direct secure messaging: acarson362917@ehrdirect.mayoclinicmsg.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1225634389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SUNRISE DR STE 200",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560825385",
            "telephone_number": "507-931-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SUNRISE DR STE 200",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560825385",
            "telephone_number": "507-931-2110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Le Sueur",
            "state": "MN",
            "postal_code": "560582207",
            "country_code": "US",
            "telephone_number": "319-520-8011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 Marsh St",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "560014752",
            "country_code": "US",
            "telephone_number": "507-625-4031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAVEY",
        "first_name": "ALEXIS",
        "middle_name": "MAY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "7913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acarson362917@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "1025 Marsh St",
            "city": "Mankato",
            "state": "MN",
            "country_code": "US",
            "postal_code": "560014752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acarson362917@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "1900 Sunrise Dr Ste 200",
            "city": "Saint Peter",
            "state": "MN",
            "country_code": "US",
            "postal_code": "560825385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "CARSON",
            "middle_name": "MAY",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Peter, MN

Sources for this page

Verify at the official NPI Registry.