Individual provider Active NPI

Alexandria Bower-Nelson, PA

  • Physician Assistant
  • Kalamazoo, MI
National Provider Identifier
1982212072
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601009946 Issued in MI
Practice address
6210 W Main St
Kalamazoo, MI 49009-8925
Phone
(269) 286-7030
Fax
(269) 286-7031
NPI assigned
Jul 15, 2020
Last updated
Jul 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601009946 MI Primary
Medical Physician Assistant 363AM0700X 5601009946TMP20 MI

Addresses

Primary practice location

6210 W Main St
Kalamazoo, MI 49009-8925

Mailing address

6428 E S Ave
Vicksburg, MI 49097-9475
Phone (231) 342-8729

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20210510001489 MI Practitioner - Physician Assistant 2668881335 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True North Medical PCGroup PAC ID 7315487790, 13 clinicians

Practice addresses (Care Compare)

4290 US
Suite 31
Traverse City, MI 49686-3761
Phone (231) 252-1810

630 W 14TH St
Traverse City, MI 49684-4050
Phone (231) 252-1810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601009946TMP20MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ella E M Brown Charitable Circle Physician Assistant CurrentSince Feb 6, 2022 Accepting new patients
Theoria Medical Physician Assistant CurrentSince Apr 19, 2021 Accepting new patients
Bronson Methodist Hospital Physician Assistant CurrentSince Aug 1, 2026 Accepting new patients
Wellbridge of Clarkston, LLC Past Accepting new patients

Locations

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

215 E Mansion St
Ste 2C
Marshall, MI 49068
Phone (269) 789-8130

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

8906 M 89
Richland, MI 49083
Phone (269) 286-7130

Organizations & group practices 9

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": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1982212072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6428 E S AVE",
            "city": "VICKSBURG",
            "state": "MI",
            "postal_code": "490979475",
            "telephone_number": "231-342-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 W MAIN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490098925",
            "telephone_number": "269-286-7030",
            "fax_number": "269-286-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWER-NELSON",
        "first_name": "ALEXANDRIA",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601009946",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601009946TMP20",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.