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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALEXIS FORTNER MSN, APRN, AGACNP-BC
NPI 1053296764
Nurse Practitioner - Acute Care in Tampa, FL

Active since August 11, 2025PECOS Enrolled
4620 N HABANA AVE STE 101, TAMPA, FL 33614(813) 875-9362(813) 876-7055 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2026, Aug 11, 2025 (2 updates tracked since 2025).

About Alexis Fortner Msn, Aprn, Agacnp-bc NPPES

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

ALEXIS FORTNER MSN, APRN, AGACNP-BC (NPI 1053296764) is an individual acute care provider in Tampa, Florida, licensed in Florida (11041455) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Indiana University School Of Medicine (2025).

NPPES Registry Identity

NPI1053296764
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameALEXIS FORTNERCredential: MSN, APRN, AGACNP-BC
Location Address4620 N HABANA AVE STE 101Tampa, FL 33614-7107
Mailing Address4620 N Habana Ave Ste 101Tampa, FL 33614-7107 · (813) 875-9362 · Fax (813) 876-7055
Phone(813) 875-9362
Fax(813) 876-7055
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2025
Enumeration DateAugust 11, 2025
Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1053296764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in FL · 11041455
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 11041455 (FL)
4620 N HABANA AVE STE 101, Tampa, FL 33614
Open in Google Maps ↗

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 Fortner Msn, Aprn, Agacnp-bc 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 ID1456857713
PECOS Enrollment IDI20251112004094
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 2

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

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Tampa General Hospital

Acute Care Hospitals · Tampa, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100128
Location1 Tampa General CirTampa, FL 33606 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33614 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 7

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

MR. ERIC SCOTT KLUG P.A.
Physician Assistant (Medical)
4620 N HABANA AVE STE 101
TAMPA, FL 33614
Hillsborough County (813) 875-9362
AMIT TOOR MD
Internal Medicine (Pulmonary Disease)
4620 N HABANA AVE STE 101
TAMPA, FL 33614
Hillsborough County (813) 875-9362
BRIANA MAYHEW D.O.
Internal Medicine (Pulmonary Disease)
4620 N HABANA AVE STE 101
TAMPA, FL 33614
Hillsborough County (813) 875-9362
SHAN SUSAN CHENG MD
Internal Medicine (Pulmonary Disease)
4620 N HABANA AVE STE 101
TAMPA, FL 33614
Hillsborough County (813) 875-9362
MS. BRIDGET M NAKIELSKI ARNP
Nurse Practitioner (Critical Care Medicine)
4620 N HABANA AVE STE 101
TAMPA, FL 33614
Hillsborough County (813) 875-9362
ERIC SCHILLING DO
Internal Medicine (Critical Care Medicine)
4620 N HABANA AVE STE 101
TAMPA, FL 33614
Hillsborough County (813) 875-9362
BRYNN HUFF APRN
Nurse Practitioner (Family)
4620 N HABANA AVE STE 101
TAMPA, FL 33614
Hillsborough County (813) 875-9362

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexis Fortner's NPI number?

The NPI number for Alexis Fortner is 1053296764. It was assigned to this individual provider in the NPPES registry on August 11, 2025.

Where is Alexis Fortner located?

Alexis Fortner practices at 4620 N Habana Ave Ste 101, Tampa, FL 33614. The listed phone number is (813) 875-9362.

What is Alexis Fortner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Alexis Fortner enrolled in Medicare?

Yes. Alexis Fortner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Alexis Fortner affiliated with any hospitals?

According to CMS data, Alexis Fortner is affiliated with St Josephs Hospital and Tampa General Hospital.

When was this NPI record last updated?

The NPPES record for Alexis Fortner was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.