Alexa N. Anderson, DO
Individual provider Active NPI Emergency Medicine Physician · Joplin, MO
NPI 1780242909 · NPPES record last updated May 25, 2021
Key facts
- NPI
- 1780242909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 2021010148 (MO)
- Practice address
- 1102 W 32ND St
Joplin, MO 64804-3503 - Phone
- (417) 347-1111
- NPI assigned
- Jun 3, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southeastern Emergency Physicians LLC
Practice addresses (Care Compare)
1500 W Poplar Ave
Collierville, TN 38017-0601
Phone (901) 861-9000
Hospital & facility affiliations
- Baptist Memorial Hospital Desoto
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MO, TN, MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210527001708 | MO | Practitioner - Emergency Medicine | 6800295692 | Reassigns benefits to 2 organizations |
| I20231212002263 | TN | Practitioner - Emergency Medicine | 6800295692 | Reassigns benefits to 1 organization |
| I20240319001218 | MS | Practitioner - Emergency Medicine | 6800295692 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freeman-Oak Hill Health System | Current |
Accepting new patients | |
| Freeman Neosho Hospital | Current |
Accepting new patients | |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current |
Accepting new patients |
| Freeman Neosho Hospital | Current |
Accepting new patients | |
| Freeman-Oak Hill Health System | Current |
Accepting new patients |
Locations
1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078
1130 E 32nd St
Joplin, MO 64804
Phone (417) 347-2273
113 W Hickory St
Neosho, MO 64850
Phone (417) 347-1078
1636 S Madison St
Webb City, MO 64870
Phone (417) 347-2273
7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000
1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 500-1254
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
Interoperability endpoints
- aanderson582168@direct.bmhcc.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 2021010148 | MO | Yes |
Addresses
Primary practice location
1102 W 32ND St
Joplin, MO 64804-3503
Mailing address
1229 Montana PL
Joplin, MO 64804-2342
Phone (314) 877-9989
Other providers in Joplin, MO
- Lilly M Amie
- Elizabeth Amigo
- Ozge Amuk Williams
- Amykay Cole LLC
- Sudhakar Ancha
- Bradley William Anderson
- Bruce Robin Anderson
- Charlene M Anderson
- Ethan Danny Anderson
- Amanda Andrade
All providers in Joplin, MO · Emergency Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.