Individual provider Active NPI

Anne Alexis, DO

  • Family Medicine Physician
  • Evansville, IN
National Provider Identifier
1871944041
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02005464A Issued in IN
Practice address
3801 Bellemeade Ave Ste 200B
Evansville, IN 47714-0114
Phone
(812) 858-5050
NPI assigned
Jun 28, 2016
Last updated
May 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R3790 KY
Family Medicine Physician 207Q00000X 02005464A IN Primary

Addresses

Primary practice location

3801 Bellemeade Ave Ste 200B
Evansville, IN 47714-0114

Mailing address

3801 Bellemeade Ave Ste 200B
Evansville, IN 47714-0114

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anne.alexis.1@7598.direct.athenahealth.com St Mary's Medical Group, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180924000149 IN Practitioner - Family Practice 9335435916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Owensboro Health, IncGroup PAC ID 0547154650, shared by 9 NPIs, 179 clinicians
St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

Practice addresses (Care Compare)

1006 Ford Ave
Owensboro, KY 42301-4677
Phone (270) 688-4845

3801 Bellemeade Ave
Evansville, IN 47714-0114

801 Saint Marys Dr
505E
Evansville, IN 47714-0528
Phone (812) 491-3236

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as apm

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
R3790KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary's Medical Group, LLC Family Medicine CurrentSince Nov 4, 2018 Accepting new patients
St Mary's Medical Group, LLC CurrentSince Nov 4, 2018 Accepting new patients
St. Mary's Health, Inc Family Medicine Past Accepting new patients

Locations

3801 Bellemeade Ave
Ste 200B
Evansville, IN 47714
Phone (812) 485-1889

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

4166 Wyntree Dr
Newburgh, IN 47630
Phone (812) 858-5050

Interoperability endpoints

  • Direct secure messaging: anne.alexis.1@7598.direct.athenahealth.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.

Hospital & facility affiliations 7

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": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1871944041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 BELLEMEADE AVE STE 200B",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BELLEMEADE AVE STE 200B",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140114",
            "telephone_number": "812-858-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXIS",
        "first_name": "ANNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "R3790",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02005464A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anne.alexis.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "3801 Bellemeade Ave Ste 200B",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477140114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.