Individual provider Active NPI

Alexis Wilson, NP

  • Family Nurse Practitioner
  • Asheville, NC
National Provider Identifier
1417144635
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0613558 Issued in NC
Practice address
143 Asheland Ave
Asheville, NC 28801-4013
Phone
(828) 258-9191
Fax
(828) 232-0031
NPI assigned
Oct 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider 372500000X 201550 NC
Family Nurse Practitioner 363LF0000X F0613558 NC Primary

Addresses

Primary practice location

143 Asheland Ave
Asheville, NC 28801-4013

Mailing address

119 Hendersonville Rd
Asheville, NC 28803-2868
Phone (828) 771-5500

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150123000173 NC Practitioner - Nurse Practitioner 1456675487 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F0613558NCMDFamily Nurse Practitioner
201550NCMDChore Provider

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of North Carolina, PC CurrentSince Jun 1, 2022 Accepting new patients
NM Pacs 2 LLC CurrentSince Jun 1, 2022 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Aug 1, 2024 Accepting new patients
Inpatient Consultants of North Carolina, PC CurrentSince Jun 1, 2022 Accepting new patients

Locations

707 N Elm St
High Point, NC 27262
Phone (336) 885-0141

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

204 E Old Highway 74
Monroe, NC 28112
Phone (704) 283-3066

179 Combs St
Sparta, NC 28675
Phone (336) 372-2441

Organizations & group practices 4

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": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1417144635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 HENDERSONVILLE RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032868",
            "telephone_number": "828-771-5500",
            "fax_number": "828-771-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 ASHELAND AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014013",
            "telephone_number": "828-258-9191",
            "fax_number": "828-232-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ALEXIS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "NC",
            "license": "201550",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F0613558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.