ALEXIS SEGUIN CALDERON MD
NPI 1205465911
Pathology - Anatomic Pathology & Clinical Pathology in Fayetteville, AR

Q: What is Alexis Calderon's NPI number?

The NPI number for Alexis Calderon is 1205465911. It was assigned to this individual provider in the NPPES registry on April 4, 2020.

Q: What is Alexis Calderon's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Alexis Calderon was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 04, 2020PECOS Enrolled

390 E LONGVIEW ST, FAYETTEVILLE, AR 72703(479) 442-0144 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2025, Apr 4, 2020 (2 updates tracked since 2020).

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About Alexis Seguin Calderon Md NPPES

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

ALEXIS SEGUIN CALDERON MD (NPI 1205465911) is an individual anatomic pathology & clinical pathology provider in Fayetteville, Arkansas, licensed in Arkansas (T2025-203) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Cherokee Nation W W Hastings Indian Hospital, and is a graduate of University Of Arkansas College Of Medicine (2020).

NPPES Registry Identity

NPI1205465911

Entity TypeIndividualFemale

Primary Taxonomy207ZP0102X

Provider Legal NameALEXIS SEGUIN CALDERONCredential: MD

Location Address390 E LONGVIEW STFayetteville, AR 72703-4618

Mailing Address4249 N Meadow View DrFayetteville, AR 72703-5003 · (501) 650-3622

Phone(479) 442-0144

Sole ProprietorYes

Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2020

Enumeration DateApril 4, 2020

Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration

NPPES CertifiedAugust 5, 2025

✔ NPI 1205465911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in AR · T2025-203

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

390 E LONGVIEW ST, Fayetteville, AR 72703

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2365865367

PECOS Enrollment IDI20251216001110

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.

Medicare Billing Reassignments

Medicare enrollment records show Alexis Calderon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cherokee Nation

33 mi

Multi-Specialty

471688 HIGHWAY 51
Stilwell, OK 74960

Reassigned Medicare billing, Texas enrollment
1,047 clinicians in this Medicare group

NPI 1992711345 (918) 696-8800

Arkansas Childrens Professional Services Organization LLC

141 mi

Pediatrics

1 CHILDRENS WAY
Little Rock, AR 72202

Reassigned Medicare billing, Arkansas enrollment
653 clinicians in this Medicare group

NPI 1629889464 (501) 364-2526

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Cherokee Nation W W Hastings Indian Hospital

Acute Care Hospitals · Tahlequah, OK

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number370171

Location100 S Bliss AvenueTahlequah, OK 74464 · Cherokee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72703 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

$119.36 typical visit price

range $51.36 – $157.74

Typical copayment $29.84 (range $12.84 – $39.43)

Most-billed visit code 99204

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

DR. PAUL R HENDRYCY M.D.

Pathology (Anatomic Pathology & Clinical Pathology)