Active NPI
Alex Nagel Ourth
- Physician Assistant
- Bowen, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| 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 | 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
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.
-
- Critical Access Hospital
- Carthage, IL
- NPI 1730139031
-
dba Women & Family Medical Group
- Rural Health Clinic/Center
- Carthage, IL
- NPI 1205887742
-
dba Memorial Medical Clinic Broadway
- Rural Health Clinic/Center
- Hamilton, IL
- NPI 1679327779
-
- Rural Health Clinic/Center
- Colchester, IL
- NPI 1699228882
-
dba Family Rural Health of LaHarpe
- Rural Health Clinic/Center
- La Harpe, IL
- NPI 1184027849
-
- Rural Health Clinic/Center
- Carthage, IL
- NPI 1588614002
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba McDonough District Hospital
- General Acute Care Hospital
- Macomb, IL
- NPI 1669420766
-
- Critical Access Hospital
- Carthage, IL
- NPI 1730139031
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.