Individual provider Active NPI

Alexa Powell

  • Family Nurse Practitioner
  • Troy, MI
National Provider Identifier
1699233874
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704308603 Issued in MI
Practice address
130 Town Center Dr Ste 101
Troy, MI 48084-1744
Phone
(248) 740-0670
Fax
(248) 740-0668
NPI assigned
Mar 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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 4704308603 MI Primary

Addresses

Primary practice location

130 Town Center Dr Ste 101
Troy, MI 48084-1744

Mailing address

20952 E 12 Mile Rd Ste 200
Saint Clair Shores, MI 48081-3203
Phone (867) 714-8205

Other practice location 1

44344 Dequindre Rd Ste 310
Sterling Heights, MI 48314-1040
Phone (586) 997-3530

Other practice location 2

130 Town Center Dr Ste 200
Troy, MI 48084-1744
Phone (248) 740-0670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20190326001944 MI Practitioner - Nurse Practitioner 9830439025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Institute of Urology PCGroup PAC ID 1052223492, 82 clinicians

Practice addresses (Care Compare)

130 Town Ctr Dr
Troy, MI 48084-1744
Phone (248) 740-0670

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Institute of Urology PC CurrentSince Feb 12, 2023 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Mar 18, 2019 Accepting new patients
Alliance Physician Services of Michigan, P.C. Nurse Practitioner Current Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Mar 18, 2019 Accepting new patients
Alliance Physician Services of Michigan, P.C. Nurse Practitioner CurrentSince Feb 12, 2023 Accepting new patients

Locations

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

20952 E 12 Mile Rd
Ste 200
St Clr Shores, MI 48081
Phone (586) 771-4820

44344 Dequindre Rd
Ste 310
Sterling Heights, MI 48314
Phone (586) 997-3530

130 Town Center Dr
Ste 200
Troy, MI 48084
Phone (248) 740-0670

130 Town Center Dr
Ste 101
Troy, MI 48084
Phone (248) 740-0670

Interoperability endpoints

  • Direct secure messaging: apowell1251509@epic00.shdirect.org

Organizations & group practices 5

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": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1699233874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20952 E 12 MILE RD STE 200",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813203",
            "telephone_number": "867-714-8205",
            "fax_number": "586-771-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 TOWN CENTER DR STE 101",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841744",
            "telephone_number": "248-740-0670",
            "fax_number": "248-740-0668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44344 Dequindre Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483141040",
            "country_code": "US",
            "telephone_number": "586-997-3530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Town Center Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480841744",
            "country_code": "US",
            "telephone_number": "248-740-0670",
            "fax_number": "248-519-0666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "ALEXA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704308603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.