NPIMap

Individual provider Active NPI

Alexis M Mayan, PA

  • Medical Physician Assistant
  • Saginaw, MI
National Provider Identifier
1376254060
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601012108 Issued in MI
Practice address
3570 Shattuck Rd
Saginaw, MI 48603-3153
Phone
(989) 791-5353
Fax
(989) 792-3033
NPI assigned
Dec 13, 2022
Last updated
Sep 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601012108 MI Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3570 Shattuck Rd
Saginaw, MI 48603-3153

Mailing address

3570 Shattuck Rd
Saginaw, MI 48603-3153
Phone (989) 791-5353

Other practice location 1

3925 Fortune Blvd
Saginaw, MI 48603-2287
Phone (989) 341-5078

Other practice location 2

1050 Wishard Blvd Ste 3060
Indianapolis, IN 46202-2872
Phone (317) 278-9581

Other names 1

  • Alexis Bush Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231116002437 MI Practitioner - Physician Assistant 7214384924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

255 Mayer Rd
Frankenmuth, MI 48734-1358
Phone (989) 349-0016

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601012108MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Saginaw CurrentSince Feb 25, 2025 Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Feb 25, 2025 Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients

Locations

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

3570 Shattuck Rd
Saginaw, MI 48603
Phone (989) 792-5353

Interoperability endpoints

  • Direct secure messaging: alexis.bush.1@11016.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1376254060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 SHATTUCK RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033153",
            "telephone_number": "989-791-5353",
            "fax_number": "989-792-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 SHATTUCK RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033153",
            "telephone_number": "989-791-5353",
            "fax_number": "989-792-3033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3925 Fortune Blvd",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486032287",
            "country_code": "US",
            "telephone_number": "989-341-5078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 Wishard Blvd Ste 3060",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462022872",
            "country_code": "US",
            "telephone_number": "317-278-9581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYAN",
        "first_name": "ALEXIS",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601012108",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "BUSH",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.