Individual provider Active NPI

Alexi Angelena Palmer, PA-C

  • Physician Assistant
  • Allison Park, PA
National Provider Identifier
1275173965
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4490 Mount Royal Blvd Ste 3300
Allison Park, PA 15101-2685
Phone
(724) 449-9300
NPI assigned
Jan 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X MA061354 PA
Pediatrics Physician 208000000X MA061354 PA
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

4490 Mount Royal Blvd Ste 3300
Allison Park, PA 15101-2685

Mailing address

248 Jaclyn Dr
Cranberry TWP, PA 16066-6922
Phone (513) 907-9636

Other practice location 1

4401 Penn Ave
Pittsburgh, PA 15224-1334
Phone (412) 692-5325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20200213000183 PA Practitioner - Physician Assistant 9234565102 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Community Care Pediatrics CurrentSince Aug 4, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Dec 31, 2019 Accepting new patients
University of Pittsburgh Physicians Pediatrics CurrentSince Dec 31, 2019 Accepting new patients
Upmc Emergency Medicine Inc Pediatric Emergency Medicine Past Accepting new patients
Childrens Community Pediatrics Pediatrics PastSince Aug 4, 2024 Accepting new patients

Locations

4490 Mount Royal Blvd
Ste 3300
Allison Park, PA 15101
Phone (724) 449-9300

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

4401 Penn Ave
Pittsburgh, PA 15224
Phone (412) 692-5030

519 Penn Ave
Ste 206
Turtle Creek, PA 15145
Phone (412) 823-3121

Interoperability endpoints

  • Direct secure messaging: alexi.zika@upmcdirect.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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1275173965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 JACLYN DR",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666922",
            "telephone_number": "513-907-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4490 MOUNT ROYAL BLVD STE 3300",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151012685",
            "telephone_number": "724-449-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Penn Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152241334",
            "country_code": "US",
            "telephone_number": "412-692-5325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "ALEXI",
        "middle_name": "ANGELENA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "PA",
            "license": "MA061354",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MA061354",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allison Park, PA

Sources for this page

Verify at the official NPI Registry.