Active NPI
Alexandra Powell, PA
- Physician Assistant
- Cape Girardeau, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2017031874
- Practice address
- 3250 Gordonville Rd Ste 358
Cape Girardeau, MO 63703-5095 - Phone
- (573) 331-3155
- Fax
- (573) 331-5096
- NPI assigned
- Sep 5, 2017
- Last updated
- Mar 16, 2021
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085006472 | IL | |
| Physician Assistant | 363A00000X | 085. | IL | |
| Medical Physician Assistant | 363AM0700X | 2017031874 | MO | |
| Surgical Physician Assistant | 363AS0400X | 2017031874 | MO | |
| Physician Assistant | 363A00000X | 2017031874 | MO | Primary |
Addresses
Primary practice location
3250 Gordonville Rd Ste 358
Cape Girardeau, MO 63703-5095
Mailing address
PO Box 801143
Kansas City, MO 64180-1143
Phone (573) 331-3000
Other practice location 1
201 S 14th St
Herrin, IL 62948-3631
Phone (618) 942-2171 ext. 65122
Other practice location 2
2 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 684-3156 ext. 65122
Other practice location 3
405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721 ext. 65122
Other names 1
- Alexandra Ramirez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 S Mount Auburn Rd
Cape Girardeau, MO 63703-5049
211 Saint Francis Dr
Cape Girardeau, MO 63703-5049
211 Saint Francis Dr
Cape Girardeau, MO 63703-8399
24 S Mount Auburn Rd
Cape Girardeau, MO 63703-5049
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.07 of 100
- Quality
- 85.4
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085. | IL | MD | Physician Assistant |
| 085006472 | IL | MD | Physician Assistant |
| 2017031874 | MO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Francis Medical Center | Current | Accepting new patients | |
| Southern Illinois Medical Services, NFP | Current | Accepting new patients | |
| Cape Laboratory & Pathology, LC | Current | Accepting new patients | |
| Saint Francis Medical Center | Current | Accepting new patients | |
| Ferguson Medical Group Rural Health Center Inc. | Past | Accepting new patients |
Locations
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
405 W Jackson St
Carbondale, IL 62901
201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171
2 S Hospital Dr
Murphysboro, IL 62966
Phone (618) 684-3156
211 Saint Francis Dr
Ste 2223
Cape Girardeau, MO 63703
Phone (573) 331-3369
3250 Gordonville Rd
Ste 358
Cape Girardeau, MO 63703
Phone (573) 331-3155
211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000
Interoperability endpoints
- apowell87323@surescripts.sfmc.net
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.
-
dba Saint Francis Medical Center Anesthesia
- Anesthesiology Physician
- Cape Girardeau, MO
- NPI 1356304489
-
dba SIH Medical Group
- Internal Medicine Physician
- Carbondale, IL
- NPI 1770656837
-
- Anatomic Pathology & Clinical Pathology Physician
- Cape Girardeau, MO
- NPI 1801872726
-
dba Charleston Family Care
- Rural Health Clinic/Center
- Charleston, MO
- NPI 1093075582
-
dba Saint Francis Clinic Jackson
- Clinic/Center
- Jackson, MO
- NPI 1992502975
-
- Family Medicine Physician
- Scott City, MO
- NPI 1245361427
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1467412726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1730607235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 801143",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641801143",
"telephone_number": "573-331-3000",
"fax_number": "573-331-5073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 GORDONVILLE RD STE 358",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637035095",
"telephone_number": "573-331-3155",
"fax_number": "573-331-5096"
}
],
"practiceLocations": [
{
"address_1": "201 S 14th St",
"address_purpose": "LOCATION",
"city": "Herrin",
"state": "IL",
"postal_code": "629483631",
"country_code": "US",
"telephone_number": "618-942-2171 x65122",
"fax_number": "618-988-6186",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 S Hospital Dr",
"address_purpose": "LOCATION",
"city": "Murphysboro",
"state": "IL",
"postal_code": "629663333",
"country_code": "US",
"telephone_number": "618-684-3156 x65122",
"fax_number": "618-529-0524",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 W Jackson St",
"address_purpose": "LOCATION",
"city": "Carbondale",
"state": "IL",
"postal_code": "629011462",
"country_code": "US",
"telephone_number": "618-549-0721 x65122",
"fax_number": "618-457-0469",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POWELL",
"first_name": "ALEXANDRA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-05",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085006472",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085.",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MO",
"license": "2017031874",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MO",
"license": "2017031874",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2017031874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXANDRA",
"last_name": "RAMIREZ",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.