Individual provider Active NPI

Alexis S Dubois

  • Family Nurse Practitioner
  • Downers Grove, IL
National Provider Identifier
1497408348
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.024622 Issued in IL
Practice address
2001 Butterfield Rd Ste 750
Downers Grove, IL 60515-1051
Phone
(888) 861-1929
NPI assigned
Feb 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 907519 MS
Family Nurse Practitioner 363LF0000X 95030861 CA
Family Nurse Practitioner 363LF0000X AP61565849 WA
Family Nurse Practitioner 363LF0000X 209.024622 IL Primary

Addresses

Primary practice location

2001 Butterfield Rd Ste 750
Downers Grove, IL 60515-1051

Mailing address

200 Oceangate Ste 100
Long Beach, CA 90802-4317

Other identifiers 1

IdentifierTypeStateIssuer
041.442392OtherILRN

Other names 1

  • Alexis Schubert Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WA, CA, MS4 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
I20230727003207 IL Practitioner - Nurse Practitioner 5294196911 Reassigns benefits to 2 organizations
I20240703001346 WA Practitioner - Nurse Practitioner 5294196911 Reassigns benefits to 1 organization
I20240809003091 CA Practitioner - Nurse Practitioner 5294196911 Reassigns benefits to 2 organizations
I20250630001148 MS Practitioner - Nurse Practitioner 5294196911 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95030861CAMDFamily Nurse Practitioner
209.024622ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Healthcare of Washington, Inc CurrentSince Jun 14, 2024 Accepting new patients
Prairie Cardiovascular Consultants LTD CurrentSince Aug 21, 2023 Accepting new patients
Universal Care CurrentSince Oct 31, 2024 Accepting new patients
Molina Healthcare of California CurrentSince Jul 29, 2024 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Oct 31, 2024 Accepting new patients
Molina Healthcare of Washington, Inc Current Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

619 E Mason St
#4P57
Springfield, IL 62701

15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727

Interoperability endpoints

  • Direct secure messaging: aschubert15616@direct-prd.molinahealthcare.com

Organizations & group practices 7

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": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1497408348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OCEANGATE STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 750",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151051",
            "telephone_number": "888-861-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "ALEXIS",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907519",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030861",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61565849",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.024622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "041.442392",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "SCHUBERT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.