ALEXIS HUCKLEBERRY – Family Nurse Practitioner, NPI 1043947492
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
8,191 NURSE PRACTITIONER in IN
Provider Addresses for ALEXIS HUCKLEBERRY
13250 Hazel Dell Pkwy Ste 104
Carmel, IN 460338527
Phone: (317) 415-6900
Type: Location
1717 S CALHOUN ST
FORT WAYNE, IN 468025257
Phone: (260) 458-2641
Type: Location
6209 TYBALT PL
INDIANAPOLIS, IN 462545164
Phone: (260) 498-3105
Type: Mailing
901 SHELBY ST
INDIANAPOLIS, IN 462031151
Phone: (317) 957-2070
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $54.
Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Gilead Sciences, Inc. ($54).
Total Amount
$54
General + Research + Ownership
Payments
2
Total payment records
General Amount
$54
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $54 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-01-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230109002125 | I | Nurse Practitioner | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46033)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Pediatric Medicine | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| Nurse Practitioner | IN | |
| Rheumatology, Internal Medicine | IN | |
| Certified Nurse Midwife (Cnm) | IN | |
| Pediatric Medicine | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| Family Practice | IN | |
| Family Practice | IN |
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