Individual provider Active NPI

Alexis Nikole Rhodes, PA-C

  • Physician Assistant
  • North Ogden, UT
National Provider Identifier
1508449976
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13031316-1206 Issued in UT
Practice address
2400 N Washington Blvd
North Ogden, UT 84414-7233
Phone
(801) 786-7500
NPI assigned
May 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA214256 OR
Physician Assistant 363A00000X 13031316-8906 UT
Physician Assistant 363A00000X 13031316-1206 UT Primary

Addresses

Primary practice location

2400 N Washington Blvd
North Ogden, UT 84414-7233

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice location 1

201 W Layton Pkwy # 1C
Layton, UT 84041-3692
Phone (801) 543-6950

Other practice location 2

1915 W 5950 S
Roy, UT 84067-1454
Phone (801) 387-8282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20241008001597 UT Practitioner - Physician Assistant 3779958400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

1915 W 5950
Roy, UT 84067-1454
Phone (801) 387-8100

201 W Layton Pkwy
Layton, UT 84041-3692

2400 N Washington Blvd
North Ogden, UT 84414-7233
Phone (435) 792-1770

700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600

Merit-based Incentive Payment System (MIPS)

Final score
89.44 of 100Reported as group
Quality
87
Promoting interoperability
100
Improvement activities
40
Cost
73.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA214256ORMDPhysician Assistant
13031316-1206UTMDPhysician Assistant
13031316-8906UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Nov 11, 2024 Accepting new patients
Ihc Health Services, Inc. CurrentSince Nov 11, 2024 Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

201 W Layton Pkwy
#1C
Layton, UT 84041
Phone (801) 543-6950

2400 N Washington Blvd
Ogden, UT 84414
Phone (801) 387-8300

1915 W 5950 S
Roy, UT 84067
Phone (801) 387-8100

Organizations & group practices 3

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": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1508449976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N WASHINGTON BLVD",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "844147233",
            "telephone_number": "801-786-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 W Layton Pkwy # 1C",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840413692",
            "country_code": "US",
            "telephone_number": "801-543-6950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1915 W 5950 S",
            "address_purpose": "LOCATION",
            "city": "Roy",
            "state": "UT",
            "postal_code": "840671454",
            "country_code": "US",
            "telephone_number": "801-387-8282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHODES",
        "first_name": "ALEXIS",
        "middle_name": "NIKOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA214256",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "13031316-8906",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "13031316-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Ogden, UT

Sources for this page

Verify at the official NPI Registry.