Alexis Diane Mitchell, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-168701 Issued in AL

Practice address

3840 Gault Ave N
Fort Payne, AL 35967-5211

Phone

(256) 844-4975

Fax

(256) 844-4978

NPI assigned

Feb 20, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alexis.mitchell.1@30893.direct.athenahealth.com
• Direct secure messaging: alexis.mitchell@neahsi.directbygreenway.com

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.

• Dekalb Primary Care

  • Multi-Specialty Clinic/Center
  • Fort Payne, AL
  • NPI 1528821402
  Medicare reassignment NPD
• Northeast Alabama Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Scottsboro, AL
  • NPI 1659448983
  Medicare reassignment NPD
• Northeast Alabama Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bryant, AL
  • NPI 1356498505
  NPD
• Dekalb Specialty Care

  • Multi-Specialty Clinic/Center
  • Fort Payne, AL
  • NPI 1972366854
  NPD (past)
• Fort Payne RHC Corp

  • Internal Medicine Physician
  • Fort Payne, AL
  • NPI 1184679938
  NPD (past)
• Northeast Alabama Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fyffe, AL
  • NPI 1104973353
  NPD (past)

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1316645377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 TAYLOR ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 GAULT AVE N",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359675211",
            "telephone_number": "256-844-4975",
            "fax_number": "256-844-4978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Main St N",
            "address_purpose": "LOCATION",
            "city": "Section",
            "state": "AL",
            "postal_code": "357717168",
            "country_code": "US",
            "telephone_number": "256-228-3471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29810 Al Highway 71",
            "address_purpose": "LOCATION",
            "city": "Bryant",
            "state": "AL",
            "postal_code": "359585240",
            "country_code": "US",
            "telephone_number": "256-597-4114",
            "fax_number": "256-597-4115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34617 Al Highway 75",
            "address_purpose": "LOCATION",
            "city": "Fyffe",
            "state": "AL",
            "postal_code": "359713488",
            "country_code": "US",
            "telephone_number": "256-623-5242",
            "fax_number": "256-623-5243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13624 County Road 8",
            "address_purpose": "LOCATION",
            "city": "Woodville",
            "state": "AL",
            "postal_code": "357766162",
            "country_code": "US",
            "telephone_number": "256-776-5615",
            "fax_number": "256-776-5617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 Freedom Ln",
            "address_purpose": "LOCATION",
            "city": "Scottsboro",
            "state": "AL",
            "postal_code": "357693763",
            "country_code": "US",
            "telephone_number": "256-574-5508",
            "fax_number": "256-259-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21680 Al Highway 79",
            "address_purpose": "LOCATION",
            "city": "Scottsboro",
            "state": "AL",
            "postal_code": "357685904",
            "country_code": "US",
            "telephone_number": "256-587-3050",
            "fax_number": "256-587-3508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ALEXIS",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-168701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmelo Cabalu Mendiola, MD
• Heather Miller
• Robert Charles Mills, MD
• Daniel Martin Mince, MD
• Mind Right, LLC
• Amanda Fortner Mitchell, PA-C
• Lynna Morton
• Tonya Leigh Moses, CRNP
• Angela W Murphy, DPM
• Ashley Elizabeth Nance, PHARMD, MPH

• Family Nurse Practitioner in Fort Payne, AL
• Providers in Fort Payne, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.