NPIMap

Individual provider Active NPI

Alex Patrick Bakowski, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1457963605
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
245760 Issued in AZ
Practice address
2910 N 3Rd Ave # 200
Phoenix, AZ 85013-4434
Phone
(602) 406-6775
Fax
(602) 406-6398
NPI assigned
Aug 19, 2020
Last updated
Oct 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 245760 AZ Primary

Addresses

Primary practice location

2910 N 3Rd Ave # 200
Phoenix, AZ 85013-4434

Mailing address

1323 E Westchester Dr
Tempe, AZ 85283-3150
Phone (708) 533-2484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20200910001256 AZ Practitioner - Nurse Practitioner 5193143451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BHSM Rehabilitation LLCGroup PAC ID 2062773138, shared by 27 NPIs, 450 clinicians
Neurosurgical Associates LTDGroup PAC ID 8820993967, 76 clinicians

Practice addresses (Care Compare)

25101 N Lake Pleasant Pkwy
Suite B 1340
Peoria, AZ 85383-1386
Phone (602) 610-6866

2910 N 3Rd Ave
Suite 200
Phoenix, AZ 85013-4434
Phone (602) 406-3181

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates, LTD CurrentSince Nov 1, 2021 Accepting new patients
Neurosurgical Associates, LTD CurrentSince Nov 1, 2021 Accepting new patients

Locations

2910 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 406-3008

2910 N 3rd Ave
#200
Phoenix, AZ 85013
Phone (602) 406-3181

2910 N 3rd Ave
Ste 200
Phoenix, AZ 85013
Phone (602) 406-3181

Interoperability endpoints

  • Direct secure messaging: alex.bakowski.1@31799.direct.athenahealth.com

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.

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": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1457963605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 E WESTCHESTER DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833150",
            "telephone_number": "708-533-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 N 3RD AVE # 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134434",
            "telephone_number": "602-406-6775",
            "fax_number": "602-406-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKOWSKI",
        "first_name": "ALEX",
        "middle_name": "PATRICK",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-19",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "245760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.