Active NPI
Alexa Powell
- Family Nurse Practitioner
- Troy, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704308603
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Institute of Urology PC | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Alliance Physician Services of Michigan, P.C. | Nurse Practitioner | Current | Accepting new patients |
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Alliance Physician Services of Michigan, P.C. | Nurse Practitioner | Current | 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
- 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.
-
dba Michigan Institute of Urology
- Durable Medical Equipment & Medical Supplies
- West Bloomfield, MI
- NPI 1194807693
Nurse Practitioner
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1295023547
-
dba Michigan Institute of Urology
- Urology Physician
- Saint Clair Shores, MI
- NPI 1427027416
Nurse Practitioner
-
dba Urology Specialist of Michigan
- Durable Medical Equipment & Medical Supplies
- Lapeer, MI
- NPI 1992693303
-
dba Michigan Institute of Urology
- Durable Medical Equipment & Medical Supplies
- Utica, MI
- NPI 1922999051
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beaumont Hospital, Troy
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.