MISS ALEXIS NICOLE BODDY N.P.
NPI 1184026379
Nurse Practitioner - Family in Hixson, TN

Q: What is Alexis Boddy's NPI number?

The NPI number for Alexis Boddy is 1184026379. It was assigned to this individual provider in the NPPES registry on September 19, 2014.

Q: What is Alexis Boddy'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 Boddy was last updated on November 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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 September 19, 2014PECOS EnrolledAccepts Medicare Assignment

5120 HIGHWAY 153, HIXSON, TN 37343(866) 389-2727 Get Directions Write a Review

NPPES record last updated: November 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Miss Alexis Nicole Boddy N.p. NPPES

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

MISS ALEXIS NICOLE BODDY N.P. (NPI 1184026379) is an individual family provider in Hixson, Tennessee, licensed in Tennessee (APN0000019205) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1184026379

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMISS ALEXIS NICOLE BODDYCredential: N.P.

Location Address5120 HIGHWAY 153Hixson, TN 37343-4520

Mailing Address5120 Highway 153Hixson, TN 37343-4520 · (866) 389-2727

Phone(866) 389-2727

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 19, 2014

Last NPPES UpdateNovember 6, 2014

✔ NPI 1184026379 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

Licenses✔ Licensed in TN · APN0000019205✔ Licensed in GA · RN234875

5120 HIGHWAY 153, Hixson, TN 37343

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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

Miss Alexis Nicole Boddy N.p. 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 ID7911220991

PECOS Enrollment IDI20251106003119

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 37343 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 11

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

DR. WESLEY LEWIS PETTIT PHARM D

Pharmacist