ALEXIS CARROLL – Physician Assistant, NPI 1013565423

ALEXIS CARROLL is a healthcare provider. based in Traverse city, Michigan. specializing in PHYSICIAN ASSISTANT. The NPI Number for ALEXIS CARROLL is 1013565423

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ALEXIS CARROLL
NPI
1013565423
Phone
(231) 392-0640
Address
1105 SIXTH ST
Enumeration Date
28 August 2019
Last Update Date
26 June 2020

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
2319355880
Graduation Year
2019 (7 years ago)
PAC ID
8628308517
Group Practice PAC ID
3072426287
Professional Enrollment ID
I20200629002520
Address ID
MI496847943TR3537XSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:6State licenses:0Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

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Provider Addresses for ALEXIS CARROLL

  • Munson Medical Center, 1105, Sixth Street, Grand Traverse Commons, Traverse City, Grand Traverse County, Michigan, 49684, United States

    TRAVERSE CITY, MI 496842345

    Phone: (231) 392-0640

    Type: Mailing

  • Evanston Hospital, 2650, Ridge Avenue, Evanston, Evanston Township, Cook County, Illinois, 60201, United States

    EVANSTON, IL 602011700

    Phone: (847) 570-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 60 Open Payments records for all available years, with a total value of $2,063.

Total Amount is formed as General ($2,063) + Research ($0) + Ownership ($0) = $2,063.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: MicroVention, Inc. ($605).

Total Amount

$2,063

General + Research + Ownership

Payments

60

Total payment records

General Amount

$2,063

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-06-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200629002520IPhysician AssistantMITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9448$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes5235$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1717$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 49684)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072426287View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm ALEXIS CARROLL's NPI?
Yes. ALEXIS CARROLL is listed with NPI 1013565423 in the public NPI dataset.
Is ALEXIS CARROLL still practicing?
ALEXIS CARROLL is currently listed as active in the public NPI registry.
What is ALEXIS CARROLL's primary classification?
Physician Assistant is the headline specialty for ALEXIS CARROLL here. Clinical services aligned with this taxonomy classification.
Where should I expect ALEXIS CARROLL on a map?
Expect Traverse City, Michigan as a primary anchor for ALEXIS CARROLL unless the record lists multiple sites.
Is the information about ALEXIS CARROLL up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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