Individual provider Active NPI

Alexa Morgan Bouts, PA-C

  • Physician Assistant
  • Cincinnati, OH
National Provider Identifier
1316514870
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.007027 Issued in OH
Practice address
3825 Edwards Rd
Cincinnati, OH 45209-1287
Phone
(513) 221-1100
Fax
(513) 569-5339
NPI assigned
Jun 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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 50.007027 OH Primary

Addresses

Primary practice location

3825 Edwards Rd
Cincinnati, OH 45209-1287

Mailing address

3825 Edwards Rd
Cincinnati, OH 45209-1287
Phone (513) 221-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210713002228 OH Practitioner - Physician Assistant 4082016035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mayfield Clinic IncGroup PAC ID 9133013006, 74 clinicians

Practice addresses (Care Compare)

10500 Montgomery Rd
Cincinnati, OH 45242-4402
Phone (513) 221-1100

2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 221-1100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.007027OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mayfield Clinic Inc Physician Assistant CurrentSince May 13, 2024 Accepting new patients
Mayfield Clinic Inc CurrentSince May 13, 2024 Accepting new patients
Christ Hospital Orthopedic Associates III LLC Physician Assistant PastSince Jun 1, 2021 Accepting new patients

Locations

2139 Auburn Ave
Ste C920B
Cincinnati, OH 45219
Phone (513) 557-5163

3825 Edwards Rd
Ste 300
Cincinnati, OH 45209

3825 Edwards Rd
Cincinnati, OH 45209
Phone (513) 569-5399

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

Interoperability endpoints

  • Direct secure messaging: alexa.bouts.p1@direct.beaconortho.nextgenshare.com
  • Direct secure messaging: alexa.bouts@mayfield.eclinicaldirectplus.com
  • Direct secure messaging: abouts@1241.direct.myezyaccess.com

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1316514870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 EDWARDS RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091287",
            "telephone_number": "513-221-1100",
            "fax_number": "513-557-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 EDWARDS RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091287",
            "telephone_number": "513-221-1100",
            "fax_number": "513-569-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTS",
        "first_name": "ALEXA",
        "middle_name": "MORGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.