Individual provider Active NPI

Alexis P Pratt

  • Emergency Registered Nurse
  • Modesto, CA
National Provider Identifier
1366162455
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Registered NurseTaxonomy code 163WE0003X
License
851529 Issued in CA
Practice address
3925 Scenic Dr Apt 98
Modesto, CA 95355-4860
Phone
(209) 765-7785
NPI assigned
Aug 30, 2022
Last updated
May 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 116828-23 NH
Emergency Registered Nurse 163WE0003X 851529 CA Primary

Addresses

Primary practice location

3925 Scenic Dr Apt 98
Modesto, CA 95355-4860

Mailing address

3925 Scenic Dr Apt 98
Modesto, CA 95355-4860
Phone (209) 765-7785

Other practice location 1

11 John Stark Hwy
Newport, NH 03773-1807
Phone (603) 863-4100

Other practice location 2

273 County Rd
New London, NH 03257-7700
Phone (603) 526-2911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20260511000331 NH Practitioner - Nurse Practitioner 2466920228 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 810
Hanover, NH 03755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
851529CAMDEmergency Registered Nurse
116828-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The New London Hospital Association, Inc. PastSince Apr 29, 2026 Accepting new patients

Organizations & group practices 2

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": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1366162455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 SCENIC DR APT 98",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554860",
            "telephone_number": "209-765-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 SCENIC DR APT 98",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554860",
            "telephone_number": "209-765-7785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 John Stark Hwy",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "NH",
            "postal_code": "037731807",
            "country_code": "US",
            "telephone_number": "603-863-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "273 County Rd",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "NH",
            "postal_code": "032577700",
            "country_code": "US",
            "telephone_number": "603-526-2911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRATT",
        "first_name": "ALEXIS",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "116828-23",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "CA",
            "license": "851529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.