Individual provider Active NPI

Alexis Vincelette, CNM

  • Advanced Practice Midwife
  • Glens Falls, NY
National Provider Identifier
1992522361
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
002400 Issued in NY
Practice address
90 South St
Glens Falls, NY 12801-4328
Phone
(518) 792-7841
Fax
(518) 932-0289
NPI assigned
Sep 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 002400 NY Primary

Addresses

Primary practice location

90 South St
Glens Falls, NY 12801-4328

Mailing address

9 Carey Rd
Queensbury, NY 12804-7880
Phone (518) 761-0300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alexis.vincelette.1@1823.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250129000332 VA Practitioner - Certified Nurse Midwife (CNM) 5496284960
I20250808003977 NY Practitioner - Certified Nurse Midwife (CNM) 5496284960 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Headwaters Health Network Advanced Practice Midwife CurrentSince Aug 4, 2025 Accepting new patients
Hudson Headwaters Health Network CurrentSince Aug 4, 2025 Accepting new patients
Hudson Headwaters Health Network Past Accepting new patients
Lewis Plastic Surgery, PC Past Accepting new patients

Locations

90 South St
Glens Falls, NY 12801
Phone (518) 792-1233

161 Carey Rd
Queensbury, NY 12804
Phone (518) 480-0011

9 Carey Rd
Queensbury, NY 12804

Interoperability endpoints

  • Direct secure messaging: alexis.vincelette.1@1823.direct.athenahealth.com
  • Direct secure messaging: alexis.vincelette@hca6.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1992522361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CAREY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128047880",
            "telephone_number": "518-761-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 SOUTH ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014328",
            "telephone_number": "518-792-7841",
            "fax_number": "518-932-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCELETTE",
        "first_name": "ALEXIS",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "002400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alexis.vincelette.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "90 South St",
            "city": "Glens Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128014328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.