ALEX VILLAVICENCIO NP-C
NPI 1053836882
Nurse Practitioner - Family in Fort Wayne, IN

Q: What is Alex Villavicencio's NPI number?

The NPI number for Alex Villavicencio is 1053836882. It was assigned to this individual provider in the NPPES registry on August 14, 2017.

Q: What is Alex Villavicencio's specialty?

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

Active since August 14, 2017PECOS EnrolledAccepts Medicare Assignment

80.66/100

CMS Quality Rating

7601 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 436-8686(260) 436-8585 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Aug 14, 2017 (2 updates tracked since 2017).

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About Alex Villavicencio Np-c NPPES

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

ALEX VILLAVICENCIO NP-C (NPI 1053836882) is an individual family provider in Fort Wayne, Indiana, licensed in Indiana (71007374A) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1053836882

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameALEX VILLAVICENCIOCredential: NP-C

Location Address7601 W JEFFERSON BLVDFort Wayne, IN 46804-4133

Mailing Address7601 W Jefferson BlvdFort Wayne, IN 46804-4133 · (260) 436-8686 · Fax (260) 436-8585

Phone(260) 436-8686

Fax(260) 436-8585

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 14, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1053836882 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 · 71007374A

7601 W JEFFERSON BLVD, Fort Wayne, IN 46804

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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 and accepts Medicare assignment

Alex Villavicencio Np-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 ID2062784994

PECOS Enrollment IDI20170828000670, I20220505002014

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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

111 services68 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

107 services82 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

39 services35 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

39 services14 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

33 services23 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

28 services23 patients

Hospital Affiliations CMS Care Compare 5

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

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN

3/5 CMS rating

OwnershipProprietary

CMS Certification Number150017

Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County

Emergency services Birthing friendly

Parkview Noble Hospital

Acute Care Hospitals · Kendallville, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150146

Location401 Sawyer RdKendallville, IN 46755 · Noble County

Emergency services Birthing friendly

The Orthopaedic Hospital Of Lutheran Health Networ

Acute Care Hospitals · Fort Wayne, IN

OwnershipProprietary

CMS Certification Number150168

Location7952 W Jefferson BlvdFort Wayne, IN 46804 · Allen County

Promedica Coldwater Regional Hospital

Acute Care Hospitals · Coldwater, MI

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number230022

Location274 E Chicago StColdwater, MI 49036 · Branch County

Emergency services Birthing friendly

Paulding County Hospital

Critical Access Hospitals · Paulding, OH

OwnershipGovernment - Local

CMS Certification Number361300

Location1035 West Wayne St.Paulding, OH 45879 · Paulding County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.66/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.61

Promoting Interoperability

Improvement Activities

Cost

70.28

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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.

GAGE MANNING CAUDELL D.P.M.

Podiatrist (Foot & Ankle Surgery)