Alexis Fasone, PA-C
Individual provider Active NPI Physician Assistant · Belleair, FL
NPI 1861116451 · NPPES record last updated Dec 15, 2025
Key facts
- NPI
- 1861116451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 401 Corbett St Ste 340
Belleair, FL 33756-7312 - Phone
- (727) 461-2282
- Fax
- (727) 443-6170
- NPI assigned
- Sep 28, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aqua Dermatology of Florida, PA
Practice addresses (Care Compare)
1015 Crosspointe Dr
Naples, FL 34110-0949
Phone (239) 596-9075
14840 Tamiami TRL
North Port, FL 34287-2701
Phone (941) 564-1542
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.47 of 100
- Quality
- 70.94
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221024000770 | FL | Practitioner - Physician Assistant | 2769858356 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles (7 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aqua Dermatology of Florida, PA | Current |
Accepting new patients | |
| Naples Center for Dermatology & Riverchase Dermatology | Current |
Accepting new patients | |
| Dermatology on the Spot, LLC | Past | Accepting new patients | |
| Blue Ocean Deramtology LLC | Past |
Accepting new patients | |
| Blue Ocean Deramtology LLC | Past |
Accepting new patients | |
| Blue Ocean Deramtology LLC | Past |
Accepting new patients | |
| Blue Ocean Deramtology LLC | Past |
Accepting new patients |
Locations
401 Corbett St
Ste 340
Belleair, FL 33756
Phone (727) 447-1229
1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075
14840 Tamiami Trl
North Port, FL 34287
Phone (941) 564-1542
2150 49th St N
Ste A
St Petersburg, FL 33710
Phone (727) 328-1841
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- alexiss@blueoceanderm.emadirect.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
401 Corbett St Ste 340
Belleair, FL 33756-7312
Mailing address
401 Corbett St Ste 340
Belleair, FL 33756-7312
Other providers in Belleair, FL
- Delta Healthcare LLC
- Dermatology Associates
- Melina Trunghau Doan
- Gail Ellen Entenman
- Hans Evers
- Roberta Felici
- Lisa A Garner
- Gastrointestinal Ambulatory Services LLC
- Gold Primary Care, LLC
- Gulfside Anesthesia Services LLC
All providers in Belleair, FL · Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2025. 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.