ALEXIS HUCKLEBERRY
NPI 1043947492
Nurse Practitioner - Family in Indianapolis, IN

Q: What is Alexis Huckleberry's NPI number?

The NPI number for Alexis Huckleberry is 1043947492. It was assigned to this individual provider in the NPPES registry on August 5, 2022.

Q: What is Alexis Huckleberry's specialty?

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

Active since August 05, 2022PECOS Enrolled

901 SHELBY ST, INDIANAPOLIS, IN 46203(317) 957-2070 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 29, 2025, Aug 5, 2022 (2 updates tracked since 2022).

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About Alexis Huckleberry NPPES

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

ALEXIS HUCKLEBERRY (NPI 1043947492) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (71013566A) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Carmel, and is a graduate of Vanderbilt University School Of Medicine (2021).

NPPES Registry Identity

NPI1043947492

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameALEXIS HUCKLEBERRY

Location Address901 SHELBY STIndianapolis, IN 46203-1151

Mailing Address6209 Tybalt PlIndianapolis, IN 46254-5164 · (260) 498-3105

Phone(317) 957-2070

Sole ProprietorNo

Medical School CMSVanderbilt University School Of MedicineGraduated 2021

Enumeration DateAugust 5, 2022

Last NPPES UpdateMay 29, 20252 updates tracked since enumeration

NPPES CertifiedMay 29, 2025

✔ NPI 1043947492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71013566A

901 SHELBY ST, Indianapolis, IN 46203

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Secondary Practice Location 1

Location 113250 Hazel Dell Pkwy Ste 104Carmel, IN 46033-8527 · Phone (317) 415-6900

Other Identifiers 1

Medicaid300068865IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexis Huckleberry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375913361

PECOS Enrollment IDI20230109002125

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46203 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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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.

RUBY M DEOLEO PIERRE FNP

Nurse Practitioner (Family)