Individual provider Active NPI

Alex Nagel Ourth

  • Physician Assistant
  • Bowen, IL
National Provider Identifier
1548041353
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
209 E 5TH St
Bowen, IL 62316-1130
Phone
(217) 842-5211
Fax
(217) 842-5202
NPI assigned
Oct 9, 2023
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20250929003149 IL Practitioner - Physician Assistant 4385146612 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Association Current Accepting new patients
Memorial Hospital Association CurrentSince Aug 26, 2025 Accepting new patients
Memorial Hospital Association CurrentSince Aug 26, 2025 Accepting new patients
Memorial Hospital Association CurrentSince Jan 21, 2026 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

1450 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-2173

1454 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-3131

630 Locust St
Ste A
Carthage, IL 62321

1471 Keokuk St
Hamilton, IL 62341
Phone (217) 847-3383

951 Broadway St
Hamilton, IL 62341
Phone (217) 551-3100

501 E Main St
La Harpe, IL 61450
Phone (217) 659-3844

Organizations & group practices 6

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 2

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": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1548041353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E 5TH ST",
            "city": "BOWEN",
            "state": "IL",
            "postal_code": "623161130",
            "telephone_number": "217-842-5211",
            "fax_number": "217-842-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E 5TH ST",
            "city": "BOWEN",
            "state": "IL",
            "postal_code": "623161130",
            "telephone_number": "217-842-5211",
            "fax_number": "217-842-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OURTH",
        "first_name": "ALEX",
        "middle_name": "NAGEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-09",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowen, IL

Sources for this page

Verify at the official NPI Registry.