Individual provider Active NPI

Alexis Christine Gies, CRNP

  • Nurse Practitioner
  • Somerset, PA
National Provider Identifier
1750045654
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP024535 Issued in PA
Practice address
118 Shaeli Dr
Somerset, PA 15501-1805
Phone
(814) 443-0130
Fax
(814) 443-1365
NPI assigned
Oct 26, 2021
Last updated
Nov 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP024535 PA Primary

Addresses

Primary practice location

118 Shaeli Dr
Somerset, PA 15501-1805

Mailing address

174 Glenn St
Johnstown, PA 15906-1948
Phone (814) 421-3369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20211117000034 PA Practitioner - Nurse Practitioner 2769871540 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Qofl Services LLC Nurse Practitioner CurrentSince Nov 3, 2021 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Pittsburgh Care Partnership, Inc. PastSince Nov 26, 2023 Accepting new patients

Locations

429 Manor Dr
Ebensburg, PA 15931
Phone (814) 472-6060

100 Woodmont Rd
Johnstown, PA 15905
Phone 412963915010149

Interoperability endpoints

  • Direct secure messaging: communitylife@upmcdirect.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1750045654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 GLENN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159061948",
            "telephone_number": "814-421-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 SHAELI DR",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155011805",
            "telephone_number": "814-443-0130",
            "fax_number": "814-443-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIES",
        "first_name": "ALEXIS",
        "middle_name": "CHRISTINE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP024535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, PA

Sources for this page

Verify at the official NPI Registry.