Individual provider Active NPI

Alexis Kelly, DNP

  • Acute Care Nurse Practitioner
  • Lake Worth, FL
National Provider Identifier
1427875236
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
11032303 Issued in FL
Practice address
1201 12TH Ave S
Lake Worth, FL 33460-5409
Phone
(561) 586-7404
NPI assigned
Sep 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 11032303 FL Primary

Addresses

Primary practice location

1201 12TH Ave S
Lake Worth, FL 33460-5409

Mailing address

3010 NW 53Rd Ter
Margate, FL 33063-1503
Phone (954) 993-1665

Other names 1

  • Alexis Hawkins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, NY, MA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20241014003216 FL Practitioner - Nurse Practitioner 8628500790 Reassigns benefits to 1 organization
I20250723001043 TX Practitioner - Nurse Practitioner 8628500790 Reassigns benefits to 1 organization
I20260324002014 NY Practitioner - Nurse Practitioner 8628500790 Reassigns benefits to 1 organization
I20260507002028 MA Practitioner - Nurse Practitioner 8628500790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infinite Medical PCGroup PAC ID 8325477656, 87 clinicians

Practice addresses (Care Compare)

250 Skillman St
Brooklyn, NY 11205-1218
Phone (718) 964-6161

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11032303FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Medical PC CurrentSince Sep 1, 2024 Accepting new patients

Locations

1201 12th Ave S
Lake Worth Beach, FL 33460
Phone (561) 586-7404

220 Sierra Dr
North Miami Beach, FL 33179
Phone (305) 653-8427

808 Colley Rd
Starke, FL 32091
Phone (904) 454-1198

200 Nassau St N
Venice, FL 34285
Phone (305) 397-8417

250 Skillman St
Ste 202
Brooklyn, NY 11205

1201 Colonel Dr
Garland, TX 75043
Phone (210) 602-1140

15015 Cypress Wood Medical Dr
Houston, TX 77014
Phone (281) 301-1149

411 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 885-7668

424 Tarpey Rd
Texas City, TX 77591
Phone (409) 938-8431

8001 Western Hills Blvd
Wht Settlemt, TX 76108
Phone (817) 246-4953

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": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1427875236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 NW 53RD TER",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330631503",
            "telephone_number": "954-993-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 12TH AVE S",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334605409",
            "telephone_number": "561-586-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ALEXIS",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11032303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "HAWKINS",
            "credential": "DNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.