Alex Nagel Ourth
Individual provider Active NPI Physician Assistant · Bowen, IL
NPI 1548041353 · NPPES record last updated Jul 24, 2025
Key facts
- NPI
- 1548041353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 209 E 5TH St
Bowen, IL 62316-1130 - Phone
- (217) 842-5211
- Fax
- (217) 842-5202
- NPI assigned
- Oct 9, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 160
Carthage, IL 62321
PO Box
Suite 160
Carthage, IL 62321-0160
Hospital & facility affiliations
- Memorial Hospital
- MC Donough District Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250929003149 | IL | Practitioner - Physician Assistant | 4385146612 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital Association | Current | Accepting new patients | |
| Memorial Hospital Association | Current |
Accepting new patients | |
| Memorial Hospital Association | Current |
Accepting new patients | |
| Memorial Hospital Association | Past | Accepting new patients | |
| Memorial Hospital Association | Past | Accepting new patients |
Locations
209 E 5th St
Bowen, IL 62316
Phone (217) 842-5211
630 Locust St
Ste A
Carthage, IL 62321
1454 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-3131
1450 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-2173
951 Broadway St
Hamilton, IL 62341
Phone (217) 551-3100
1471 Keokuk St
Hamilton, IL 62341
Phone (217) 847-3383
501 E Main St
La Harpe, IL 61450
Phone (217) 659-3844
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
209 E 5TH St
Bowen, IL 62316-1130
Mailing address
209 E 5TH St
Bowen, IL 62316-1130
Phone (217) 842-5211
Other providers in Bowen, IL
- Catherine Ann Bruening
- Caitlyn Jo Fink
- Jeffrey A Leon
- Memorial Hospital Association
- Kayla Neisen
- Southeastern Cu SCH Dist 337
- Lindsey Dyan Stephens
- Romel Tournear
- Phyllis R Wear
All providers in Bowen, IL · Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.