Individual provider Active NPI

Alexis Nicole Hartert, APRN

  • Pediatric Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1326717224
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
11014169 Issued in FL
Practice address
12871 Citrus Plaza Dr
Tampa, FL 33625-3010
Phone
(813) 471-4445
NPI assigned
Sep 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 11014169 FL Primary

Addresses

Primary practice location

12871 Citrus Plaza Dr
Tampa, FL 33625-3010

Mailing address

9305 Bay Club CT
Tampa, FL 33607-5984
Phone (704) 778-2555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20241212002716 NC Practitioner - Nurse Practitioner 0446786537 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11014169FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Dec 2, 2024 Accepting new patients
Carolinas Physician Network Inc CurrentSince Dec 2, 2024 Accepting new patients
University Pediatrics CurrentSince Dec 2, 2024 Accepting new patients
University Pediatrics CurrentSince Dec 2, 2024 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
South Lake Pediatrics PastSince Nov 24, 2019 Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients

Locations

101 E Wt Harris Blvd
Ste 1121
Charlotte, NC 28262
Phone (704) 717-2000

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

9625 Northcross Center Ct
Huntersville, NC 28078
Phone (704) 801-3450

9625 Northcross Center Ct
Ste 201
Huntersville, NC 28078
Phone (704) 801-3097

Interoperability endpoints

  • Direct secure messaging: ahartert2953796@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 7

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": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1326717224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 BAY CLUB CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075984",
            "telephone_number": "704-778-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12871 CITRUS PLAZA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253010",
            "telephone_number": "813-471-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTERT",
        "first_name": "ALEXIS",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "11014169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.