Individual provider Active NPI

Alexis Marie Newsome

  • Family Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1558140707
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0034670 Issued in OH
Practice address
865 S Patterson Blvd
Dayton, OH 45402-2624
Phone
(937) 966-4673
NPI assigned
Sep 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0034670 OH Primary

Addresses

Primary practice location

865 S Patterson Blvd
Dayton, OH 45402-2624

Mailing address

100 Crowne Point PL
Cincinnati, OH 45241-5427
Phone (513) 743-7628

Other practice location 1

2501 E High St
Springfield, OH 45505-1410
Phone (937) 629-3105

Other practice location 2

474 N Yellow Springs St
Springfield, OH 45504-2463
Phone (937) 399-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20231019000953 OH Practitioner - Nurse Practitioner 8022464528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

474 N Yellow Springs St
Springfield, OH 45504-2463
Phone (937) 399-9500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Decoach Team LLC CurrentSince Oct 15, 2025 Accepting new patients
Mental Health Services for Clark Co Inc CurrentSince Sep 28, 2023 Accepting new patients
Decoach Team LLC CurrentSince Nov 18, 2025 Accepting new patients
Mental Health Services for Clark Co Inc CurrentSince Sep 28, 2023 Accepting new patients

Locations

865 S Patterson Blvd
Dayton, OH 45402
Phone (937) 966-4673

210 N Main St
London, OH 43140
Phone (740) 845-7343

100 Crowne Point Pl
Sharonville, OH 45241
Phone (513) 743-7628

474 N Yellow Springs St
Springfield, OH 45504
Phone (937) 399-9500

2501 E High St
Springfield, OH 45505
Phone (937) 328-8700

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1558140707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CROWNE POINT PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452415427",
            "telephone_number": "513-743-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 S PATTERSON BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022624",
            "telephone_number": "937-966-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 E High St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455051410",
            "country_code": "US",
            "telephone_number": "937-629-3105",
            "fax_number": "937-521-1503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "474 N Yellow Springs St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455042463",
            "country_code": "US",
            "telephone_number": "937-399-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWSOME",
        "first_name": "ALEXIS",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0034670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.