KRISTY J. ALEXANDER (NP) – Family Nurse Practitioner, NPI 1720417694

KRISTY J. ALEXANDER (NP) is a healthcare provider. based in Gaylord, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 0024171296 (VA). The NPI Number for KRISTY J. ALEXANDER (NP) is 1720417694

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
KRISTY J. ALEXANDER (NP)
NPI
1720417694
Phone
(989) 731-2105
Address
829 N CENTER AVE
Enumeration Date
1 November 2013
Last Update Date
17 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
51773141111
Graduation Year
2013 (13 years ago)
PAC ID
5698903227
Group Practice PAC ID
8325942535
Professional Enrollment ID
I20141022000462
Address ID
MI497350000GA1996XWALD201

Contacts

Secure Messaging
kristy.alexander@omhmedicalgroup.directbygreenway.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:12State licenses:2Other namesUpdated within 12 months

8,106 NURSE PRACTITIONER in MI

Provider Addresses for KRISTY J. ALEXANDER (NP)

  • 829 N CENTER AVE

    SUITE 200

    GAYLORD, MI 497351595

    Phone: (989) 731-2105

    Fax: (989) 731-2440

    Type: Location

  • 271 MCCOY RD W

    GAYLORD, MI 497358253

    Phone: (989) 731-7708

    Fax: (989) 731-7929

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $468.

Total Amount is formed as General ($468) + Research ($0) + Ownership ($0) = $468.

Last reported payment date: 2024-08-06 • Largest payer in this snapshot: Astellas Pharma US Inc ($78).

Total Amount

$468

General + Research + Ownership

Payments

25

Total payment records

General Amount

$468

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-06

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: 2014-10-22

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
I20141022000462INurse PractitionerMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49735)

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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: 8325942535View full group profile
NameSpecialtyState
Family PracticeMI
-MI
Internal MedicineMI
Nurse PractitionerMI
Orthopedic SurgeryMI
Nurse PractitionerMI
Nurse PractitionerMI
Certified Registered Nurse Anesthetist (Crna)MI
Emergency MedicineMI
Physician AssistantMI

Reviews

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Frequently asked questions

Is there an official ID for KRISTY J. ALEXANDER (NP) in U.S. healthcare records?
The official identifier for KRISTY J. ALEXANDER (NP) is NPI 1720417694.
Would KRISTY J. ALEXANDER (NP) appear as active to a payer?
You can treat KRISTY J. ALEXANDER (NP) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for KRISTY J. ALEXANDER (NP)?
At a glance, KRISTY J. ALEXANDER (NP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KRISTY J. ALEXANDER (NP)?
Travel planning: use Gaylord, Michigan as the reference point for KRISTY J. ALEXANDER (NP), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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