Individual provider Active NPI

Alexis Vikketta Edwards, FNP-BC

  • Family Nurse Practitioner
  • Elizabeth City, NC
National Provider Identifier
1356032031
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5018106 Issued in NC
Practice address
902B Roanoke Ave
Elizabeth City, NC 27909-5565
Phone
(252) 368-8575
NPI assigned
May 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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 5018106 NC Primary

Addresses

Primary practice location

902B Roanoke Ave
Elizabeth City, NC 27909-5565

Mailing address

317 Orchard Dr
Elizabeth City, NC 27909-9324
Phone (252) 455-2443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240104000768 NC Practitioner - Nurse Practitioner 3678924636 Reassigns benefits to 3 organizations
I20260605001239 NC Practitioner - Nurse Practitioner 3678924636 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
Group practices
Universal Health CorporationGroup PAC ID 5597912626, 120 clinicians
Pai Participant 29 PCGroup PAC ID 6002216215, 23 clinicians
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

1075 US Hwy 17 S
Elizabeth City, NC 27909-7628
Phone (252) 338-7101

1306 S King St
Windsor, NC 27983-9663
Phone (252) 794-5146

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5018106NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lexcare Integrated Health, PLLC CurrentSince May 25, 2026 Accepting new patients
Universal Health Corporation CurrentSince Feb 1, 2026 Accepting new patients
Pai Participant 29, P.C. CurrentSince Jan 10, 2026 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Nov 21, 2023 Accepting new patients

Locations

1987 Hilton Rd
Burlington, NC 27217
Phone (336) 226-0848

1075 US Highway 17 S
Elizabeth Cty, NC 27909
Phone (252) 338-3975

1287 Newsome St
Mount Airy, NC 27030
Phone (336) 786-2133

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

1804 Forest Hills Rd W
Wilson, NC 27893
Phone (252) 237-8161

1306 S King St
Windsor, NC 27983
Phone (252) 217-9874

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25675/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 1

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": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1356032031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 ORCHARD DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279099324",
            "telephone_number": "252-455-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902B ROANOKE AVE",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279095565",
            "telephone_number": "252-368-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ALEXIS",
        "middle_name": "VIKKETTA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5018106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.