Individual provider Active NPI

Shelly Dion Alexander, FNP

  • Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1881008498
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A004139 Issued in AR
Practice address
3380 C St Ste 100
Anchorage, AK 99503-3949
Phone
(417) 298-4433
NPI assigned
Jun 12, 2014
Last updated
Jan 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A004139 AR Primary
Family Nurse Practitioner 363LF0000X 2014000660 MO

Addresses

Primary practice location

3380 C St Ste 100
Anchorage, AK 99503-3949

Mailing address

4412 Heather LN
Bolivar, MO 65613-9301
Phone (417) 298-4433

Other names 1

  • Shelly Barger Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260513002744 IN Practitioner - Nurse Practitioner 9436379237 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 E Rivulon Blvd
Gilbert, AZ 85297-0096

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014000660MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Altea Medical Missouri LLC CurrentSince Jul 7, 2024 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Jul 1, 2023 Accepting new patients
Post Acute Medical PLLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

247 S Alaska St
Palmer, AK 99645
Phone (907) 215-2353

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

490 W 16th Pl
Chicago Hts, IL 60411
Phone (708) 481-4444

101 E Via Ghiglieri
Toluca, IL 61369
Phone (815) 452-2367

2350 Taft St
Gary, IN 46404
Phone (219) 944-2677

2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767

430 N West St
Perryville, MO 63775
Phone (273) 547-1011

1441 Charic Dr
Wildwood, MO 63021
Phone (636) 394-2522

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

Organizations & group practices 4

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": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1881008498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4412 HEATHER LN",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656139301",
            "telephone_number": "417-298-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 C ST STE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033949",
            "telephone_number": "417-298-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "SHELLY",
        "middle_name": "DION",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A004139",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014000660",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLY",
            "last_name": "BARGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.