Individual provider Active NPI

Alexis Medena

  • Family Nurse Practitioner
  • Plainville, CT
National Provider Identifier
1972333110
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13784 Issued in CT
Practice address
32 Peach Orchard HL
Plainville, CT 06062-1541
Phone
(860) 993-7382
NPI assigned
Aug 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Nurse Practitioner 363LF0000X 13784 CT Primary

Addresses

Primary practice location

32 Peach Orchard HL
Plainville, CT 06062-1541

Mailing address

32 Peach Orchard HL
Plainville, CT 06062-1541
Phone (860) 993-7382

Other practice location 1

385 W Main St
Avon, CT 06001-4357
Phone (860) 777-1280

Other names 1

  • Alexis Deschenes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20241002000486 CT Practitioner - Nurse Practitioner 9335670371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Urgent Care Centers LLCGroup PAC ID 7618242777, 201 clinicians

Practice addresses (Care Compare)

385 W Main St
Avon, CT 06001-4357
Phone (860) 777-6977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Urgent Care Centers, LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

385 W Main St
Avon, CT 06001
Phone (860) 777-1280

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

1025 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 696-2296

Interoperability endpoints

  • Direct secure messaging: alexis.medena@xdr.hhchealthdirect.org

Organizations & group practices 1

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": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1972333110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 PEACH ORCHARD HL",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060621541",
            "telephone_number": "860-993-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 PEACH ORCHARD HL",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060621541",
            "telephone_number": "860-993-7382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "385 W Main St",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CT",
            "postal_code": "060014357",
            "country_code": "US",
            "telephone_number": "860-777-1280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDENA",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "13784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "DESCHENES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plainville, CT

Sources for this page

Verify at the official NPI Registry.