Active NPI
Alexis Holland Reuther Pruitt, CNM
- Advanced Practice Midwife
- Shelby, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- Practice address
- 110 W Grover St
Shelby, NC 28150-3825 - Phone
- (980) 487-2800
- NPI assigned
- Sep 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | Primary |
Addresses
Primary practice location
110 W Grover St
Shelby, NC 28150-3825
Mailing address
2114 Pinnacle View Dr
Kings Mountain, NC 28086-7610
Phone (757) 672-8967
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191223001993 | NC | Practitioner - Certified Nurse Midwife (CNM) | 0840624904 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolinas Physicians Network Inc
Practice addresses (Care Compare)
14214 Ballantyne Lake Rd
Charlotte, NC 28277-3373
201 E Grover St
Shelby, NC 28150-3917
Phone (980) 487-3142
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| County of Cleveland North Carolina | Current | Accepting new patients | |
| County of Cleveland North Carolina | Current | Accepting new patients | |
| County of Cleveland North Carolina | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients |
Locations
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
200 S Post Rd
Shelby, NC 28152
Phone (980) 484-5100
110 W Grover St
Shelby, NC 28150
Phone (704) 487-5258
Interoperability endpoints
- apruitt239901@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 6
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.
-
- State or Local Public Health Clinic/Center
- Shelby, NC
- NPI 1720151525
NC
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Obstetrics & Gynecology Physician
- Shelby, NC
- NPI 1841632882
-
- Clinic Pharmacy
- Shelby, NC
- NPI 1275579294
-
- State or Local Public Health Clinic/Center
- Shelby, NC
- NPI 1639244452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1366093957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2114 PINNACLE VIEW DR",
"city": "KINGS MOUNTAIN",
"state": "NC",
"postal_code": "280867610",
"telephone_number": "757-672-8967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W GROVER ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503825",
"telephone_number": "980-487-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUITT",
"first_name": "ALEXIS",
"middle_name": "HOLLAND REUTHER",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-25",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.