Nicole N Alexander, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA590 Issued in WY

Practice address

3236 E Grand Ave Ste I
Laramie, WY 82070-5100

Phone

(307) 760-8602

Fax

(307) 288-6065

NPI assigned

Feb 25, 2013

Last updated

Apr 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Nicole R Nabb Former name

Medicare fee-for-service enrollment

Enrolled in WY

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

Specialty

Physician Assistant

Education

University of Nebraska College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grand Ave Family MedicineGroup PAC ID 4486003050, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Laramie, WY, CCN 537077
• Ivinson Memorial Hospital Hospital, Laramie, WY, CCN 530025

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Grand Ave Family Medicine

  • Family Medicine Physician
  • Laramie, WY
  • NPI 1437842390
  Medicare reassignment Care Compare group NPD
• Emergency Physicians of Eastern Nebraska, PC

  • Emergency Medicine Physician
  • Bellevue, NE
  • NPI 1366774416
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ivinson Memorial Hospital

  • Rural Acute Care Hospital
  • Laramie, WY
  • NPI 1336289552
  Care Compare affiliation
• Orion Homecare, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Laramie, WY
  • NPI 1952857674
  Care Compare affiliation

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1831439108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3236 E GRAND AVE STE I",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705100",
            "telephone_number": "073-760-8602",
            "fax_number": "307-288-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3236 E GRAND AVE STE I",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705100",
            "telephone_number": "307-760-8602",
            "fax_number": "307-288-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "NICOLE",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1722",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "PA590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "NABB",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Elaine Albee, PHARM.D
• Albertsons LLC (Osco Pharmacy)
• Elizabeth Elaine Albrandt, PT, DPT
• Charles M. Alexander, RPH
• James Ralph Alexander Jr.
• Align Services LLC
• Align Services of Wyoming, Inc.
• Align Services, LLC
• Jean M Allais, MD
• Jacqueline Allen

• Physician Assistant in Laramie, WY
• Providers in Laramie, WY by specialty
• Physician Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.

Verify at the official NPI Registry.