Kari Joyce Alexander, PA

Individual provider Active NPI Physician Assistant · Portage, WI

NPI 1992894786 · NPPES record last updated Oct 27, 2020

Key facts

NPI
1992894786
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
2555 (WI)
Practice address
2825 Hunters TRL
Portage, WI 53901-3429
Phone
(608) 742-7161
Fax
(608) 745-3990
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 22

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dean Health Systems Inc (1,174 clinicians)

Practice addresses (Care Compare)

1700 Tuttle St
Baraboo, WI 53913-3319
Phone (608) 355-3800

2805 Hunters TRL
Portage, WI 53901-3429
Phone (608) 745-5900

2825 Hunters TRL
Portage, WI 53901-3429
Phone (608) 742-5522

515 22ND Ave
Monroe, WI 53566-1569
Phone (608) 324-2000

700 S Park St
Madison, WI 53715-1830
Phone (608) 251-6100

Hospital & facility affiliations

  • SSM Health at Home Home Health-Wisconsin Home health agency · Madison, WI · CCN 527184
  • Agrace Hospicecare Hospice · Madison, WI · CCN 521505
  • SSM Health St Mary'S Hospital - Madison Hospital · Madison, WI · CCN 520083
  • SSM Health St Clare Hospital - Baraboo Hospital · Baraboo, WI · CCN 520057
  • Aspirus Divine Savior Hospital Hospital · Portage, WI · CCN 520041

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20110225000066 WI Practitioner - Physician Assistant 2567471816 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2555WIMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Health Systems, Inc. Current
since Nov 1, 2014
Accepting new patients
Dean Health Systems, Inc Current
since Nov 1, 2014
Accepting new patients

Locations

1700 Tuttle St
Baraboo, WI 53913
Phone (608) 355-3800

825 Western Ave
Columbus, WI 53925
Phone (920) 623-2520

1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

2825 Hunters Trl
Portage, WI 53901
Phone (608) 742-5522

Interoperability endpoints

  • Direct secure messaging: kalexander264161@direct-ehr-ssmhc.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2555 WI Yes

Addresses

Primary practice location

2825 Hunters TRL
Portage, WI 53901-3429

Mailing address

2825 Hunters TRL
Portage, WI 53901-3429
Phone (608) 742-7161

Other identifiers

IdentifierTypeStateIssuer
1992894786MedicaidWI

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address kalexander264161@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Other providers in Portage, WI

All providers in Portage, WI · Physician Assistant in Wisconsin

Sources for this page

Verify at the official NPI Registry.