Individual provider Active NPI

Alex T Meiser, NP-C

  • Nurse Practitioner
  • Fairlawn, OH
National Provider Identifier
1962054585
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.024885 Issued in OH
Practice address
55 Merz Blvd Unit a
Fairlawn, OH 44333-2895
Phone
(330) 864-9000
Fax
(330) 864-9004
NPI assigned
Jul 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.024885 OH Primary

Addresses

Primary practice location

55 Merz Blvd Unit a
Fairlawn, OH 44333-2895

Mailing address

55 Merz Blvd Unit a
Fairlawn, OH 44333-2895
Phone (330) 864-9000

Other practice location 1

1790 Town Park Blvd Ste A
Uniontown, OH 44685-7972
Phone (330) 864-9000

Other identifiers 1

IdentifierTypeStateIssuer
0364988MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL FAIRLAWN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190829004397 OH Practitioner - Nurse Practitioner 9133457096 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatologists of Southwestern Ohio, LLCGroup PAC ID 7113973041, 116 clinicians
Fairlawn Dermatology LLCGroup PAC ID 4789616806, 4 clinicians

Practice addresses (Care Compare)

1790 Town Park Blvd
Suite a
Uniontown, OH 44685-7972
Phone (330) 864-9000

5300 Far Hills Ave
Dayton, OH 45429-2381
Phone (937) 433-7536

55 Merz Blvd
Unit a
Fairlawn, OH 44333-2895
Phone (330) 864-9000

55 Merz Blvd a
Fairlawn, OH 44333-2895
Phone (330) 864-9000

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.024885OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatologists of Southwestern Ohio, LLC. CurrentSince Feb 15, 2026 Accepting new patients
Fairlawn Dermatology, LLC CurrentSince Jul 24, 2020 Accepting new patients

Locations

5300 Far Hills Ave
Dayton, OH 45429
Phone (513) 433-7536

55 Merz Blvd
Unit A
Fairlawn, OH 44333
Phone (330) 253-7164

1790 Town Park Blvd
Ste A
Green, OH 44685
Phone (330) 864-9000

Interoperability endpoints

  • Direct secure messaging: ameiser@fairlawnderm.medentdirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1962054585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MERZ BLVD UNIT A",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443332895",
            "telephone_number": "330-864-9000",
            "fax_number": "330-864-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MERZ BLVD UNIT A",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443332895",
            "telephone_number": "330-864-9000",
            "fax_number": "330-864-9004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1790 Town Park Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Uniontown",
            "state": "OH",
            "postal_code": "446857972",
            "country_code": "US",
            "telephone_number": "330-864-9000",
            "fax_number": "330-864-9004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEISER",
        "first_name": "ALEX",
        "middle_name": "T",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.024885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0364988",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "FAIRLAWN",
            "affiliation": "N",
            "address_1": "55 Merz Blvd Unit A",
            "city": "Fairlawn",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443332895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.