Individual provider Active NPI

Alexis Holland Reuther Pruitt, CNM

  • Advanced Practice Midwife
  • Shelby, NC
National Provider Identifier
1366093957
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
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

Updated by the provider on Sep 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 2,324 clinicians

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 100Reported as apm
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

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Nov 21, 2019 Accepting new patients
County of Cleveland North Carolina Current Accepting new patients
County of Cleveland North Carolina CurrentSince Jan 14, 2025 Accepting new patients
County of Cleveland North Carolina CurrentSince Jan 14, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Nov 21, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.