Individual provider Active NPI

Alexandra Lee Pierret, M.D.

  • Family Medicine Physician
  • Berkley, MI
National Provider Identifier
1376925131
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301108401 Issued in MI
Practice address
3211 Coolidge Hwy
Berkley, MI 48072-1633
Phone
(248) 629-6565
NPI assigned
Jun 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301108401 MI Primary

Addresses

Primary practice location

3211 Coolidge Hwy
Berkley, MI 48072-1633

Mailing address

3211 Coolidge Hwy
Berkley, MI 48072-1633
Phone (248) 629-6565

Other practice location 1

950 N Main St
Royal Oak, MI 48067-1840
Phone (248) 543-8111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address apierret@novusprimarycare.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170912000889 MI Practitioner - Family Practice 3476826520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3211 Coolidge Hwy
Berkley, MI 48072-1633
Phone (248) 629-6565

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301108401MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novus Primary Care, PLLC Family Medicine CurrentSince Dec 21, 2021 Accepting new patients

Locations

3211 Coolidge Hwy
Berkley, MI 48072
Phone (248) 541-2588

Interoperability endpoints

  • Direct secure messaging: apierret1251064@epic00.shdirect.org

Organizations & group practices 1

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 3

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": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1376925131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 COOLIDGE HWY",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721633",
            "telephone_number": "248-629-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 COOLIDGE HWY",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721633",
            "telephone_number": "248-629-6565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 N Main St",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480671840",
            "country_code": "US",
            "telephone_number": "248-543-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERRET",
        "first_name": "ALEXANDRA",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301108401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apierret@novusprimarycare.com",
            "affiliation": "N",
            "address_1": "3211 Coolidge Hwy",
            "city": "Berkley",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480721633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Berkley, MI

Sources for this page

Verify at the official NPI Registry.