Individual provider Active NPI

Alexandra Grayce Hooper, NP

  • Family Nurse Practitioner
  • Clarkston, MI
National Provider Identifier
1326735135
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704322713 Issued in MI
Practice address
5885 S Main St Ste 1
Clarkston, MI 48346-2981
Phone
(248) 515-8952
NPI assigned
Apr 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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 4704322713 MI Primary

Addresses

Primary practice location

5885 S Main St Ste 1
Clarkston, MI 48346-2981

Mailing address

5885 S Main St Ste 1
Clarkston, MI 48346-2981
Phone (248) 238-8059

Other names 1

  • Alexandra Grayce Wolfe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250721000268 MI Practitioner - Nurse Practitioner 4880100551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Main Street Dermatology PLLCGroup PAC ID 3476917766, 5 clinicians

Practice addresses (Care Compare)

5885 S Main St
Suite 1
Clarkston, MI 48346-2981
Phone (614) 507-3765

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704322713MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Dermatology, PLLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

5885 S Main St
Ste 1
Clarkston, MI 48346
Phone (248) 620-1900

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1326735135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 S MAIN ST STE 1",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462981",
            "telephone_number": "248-238-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5885 S MAIN ST STE 1",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462981",
            "telephone_number": "248-515-8952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOPER",
        "first_name": "ALEXANDRA",
        "middle_name": "GRAYCE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704322713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "WOLFE",
            "middle_name": "GRAYCE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.