Individual provider Active NPI

Summer Alexander, NP

  • Family Nurse Practitioner
  • Caruthersville, MO
National Provider Identifier
1740728187
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017000675 Issued in MO
Practice address
109 E 5TH St
Caruthersville, MO 63830-1417
Phone
(573) 359-9803
NPI assigned
Feb 6, 2017
Last updated
Sep 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A005020 AR
Family Nurse Practitioner 363LF0000X 2017000675 MO Primary

Addresses

Primary practice location

109 E 5TH St
Caruthersville, MO 63830-1417

Mailing address

6738 State Highway 77
Benton, MO 63736-8238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210820002578 AZ Practitioner - Nurse Practitioner 4082998299
I20220929002901 MO Practitioner - Nurse Practitioner 4082998299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Southland Dr
Sikeston, MO 63801-4403
Phone (573) 472-1770

500 Russell St
Kennett, MO 63857-2102
Phone (573) 717-1332

6724 State Hwy 77
Benton, MO 63736-8238
Phone (573) 545-4200

6738 State Hwy 77
Benton, MO 63736-8238

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A005020ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Missouri Health Network Current Accepting new patients
Southeast Missouri Health Network CurrentSince Sep 26, 2022 Accepting new patients
Prescott Healthcare Solutions LLC Family CurrentSince Nov 7, 2022 Accepting new patients
Southeast Missouri Health Network CurrentSince Sep 26, 2022 Accepting new patients
Southeast Missouri Health Network PastSince Nov 24, 2019 Accepting new patients
Southeast Missouri Health Network PastSince Nov 24, 2019 Accepting new patients
Southeast Missouri Health Network Past Accepting new patients

Locations

26224 N Tatum Blvd
Ste 15A
Phoenix, AZ 85050
Phone (480) 663-9632

6724 State Highway 77
Benton, MO 63736
Phone (573) 545-4191

6738 State Highway 77
Benton, MO 63736
Phone (573) 313-2500

741 S Walnut St
Bernie, MO 63822
Phone (573) 293-6836

109 E 5th St
Caruthersville, MO 63830
Phone (573) 359-9803

500 Russell St
Kennett, MO 63857
Phone (573) 717-1332

655 US Highway 61
New Madrid, MO 63869
Phone (573) 545-4200

200 Pine St
Sikeston, MO 63801
Phone (573) 313-2500

200 Southland Dr
Sikeston, MO 63801
Phone (573) 472-1770

835 W Murray Ln
Sikeston, MO 63801
Phone (573) 472-8808

Interoperability endpoints

  • Direct secure messaging: summer.alexander.1@14764.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1740728187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6738 STATE HIGHWAY 77",
            "city": "BENTON",
            "state": "MO",
            "postal_code": "637368238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E 5TH ST",
            "city": "CARUTHERSVILLE",
            "state": "MO",
            "postal_code": "638301417",
            "telephone_number": "573-359-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "SUMMER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-06",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A005020",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017000675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caruthersville, MO

Sources for this page

Verify at the official NPI Registry.