ALEXIS MARIE PHETSAVANH FNP-C
NPI 1033962436
Nurse Practitioner - Family in Amarillo, TX

Q: What is Alexis Phetsavanh's NPI number?

The NPI number for Alexis Phetsavanh is 1033962436. It was assigned to this individual provider in the NPPES registry on April 8, 2024. The provider is also known as Alexis Marie Sotello.

Q: What is Alexis Phetsavanh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Alexis Phetsavanh was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 08, 2024PECOS EnrolledAccepts Medicare Assignment

9092 WESTGATE PKWY W, AMARILLO, TX 79124(806) 355-9741(806) 356-0045 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2025, Jan 9, 2025, Sep 27, 2024 and 1 more (4 updates tracked since 2024).

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About Alexis Marie Phetsavanh Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXIS MARIE PHETSAVANH FNP-C (NPI 1033962436) is an individual family provider in Amarillo, Texas, licensed in Texas (1156971) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with Bsa Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1033962436

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameALEXIS MARIE PHETSAVANHCredential: FNP-C

Location Address9092 WESTGATE PKWY WAmarillo, TX 79124-2441

Mailing Address9092 Westgate Pkwy WAmarillo, TX 79124-2441 · (806) 355-9741 · Fax (806) 356-0045

Phone(806) 355-9741

Fax(806) 356-0045

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateApril 8, 2024

Last NPPES UpdateSeptember 25, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2025

✔ NPI 1033962436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 1156971

Also ListedNurse PractitionerTaxonomy 363L00000X · License 1156971 (TX)

9092 WESTGATE PKWY W, Amarillo, TX 79124

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Other Names 1

Former Name (1)Alexis Marie Sotello

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexis Marie Phetsavanh Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486094349

PECOS Enrollment IDI20240425003904

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bsa Hospital

Acute Care Hospitals · Amarillo, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450231

Location1600 Wallace BlvdAmarillo, TX 79106 · Potter County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. FATIMA MENDOZA N.P.

Nurse Practitioner (Family)