ALEX VILLAVICENCIO (NP-C) – Family Nurse Practitioner, NPI 1053836882
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,191 NURSE PRACTITIONER in IN
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Provider Addresses for ALEX VILLAVICENCIO (NP-C)
7601, West Jefferson Boulevard, Fort Wayne, Allen County, Indiana, 46804, United States
FORT WAYNE, IN 468044133
Phone: (260) 436-8686
Fax: (260) 436-8585
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $1,658.
Total Amount is formed as General ($1,658) + Research ($0) + Ownership ($0) = $1,658.
Last reported payment date: 2024-06-14 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($1,467).
Total Amount
$1,658
General + Research + Ownership
Payments
10
Total payment records
General Amount
$1,658
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $1,467 |
| Smith+Nephew, Inc. | $135 |
| Ethicon US, LLC | $56 |
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: 2022-05-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20170828000670 | I | Nurse Practitioner | IN | TBD |
| I20220505002014 | I | Nurse Practitioner | OH | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1030 | Injection, methylprednisolone acetate, 40 mg | 272 | 78 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 149 | 116 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 124 | 88 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 37 | 36 | $0 |
| 73560 | X-ray of knee, 1-2 views | 33 | 27 | $0 |
Insurance plans in this area (ZIP 46804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Orthopedic Surgery | IN | |
| Orthopedic Surgery | IN | |
| Physician Assistant | IN | |
| - | IN | |
| Physician Assistant | IN | |
| Orthopedic Surgery, Sports Medicine | IN | |
| Nurse Practitioner | IN | |
| Physician Assistant | IN | |
| - | IN |
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