ALEX CLAYTON IRWIN AG-ACNP
NPI 1275028128
Nurse Practitioner - Acute Care in Anderson, IN

Q: What is Alex Irwin's NPI number?

The NPI number for Alex Irwin is 1275028128. It was assigned to this individual provider in the NPPES registry on June 23, 2018.

Q: What is Alex Irwin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alex Irwin was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 23, 2018PECOS EnrolledAccepts Medicare Assignment

2015 JACKSON ST, ANDERSON, IN 46016(765) 649-2511 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 3, 2021, Sep 12, 2018, Jun 23, 2018 (3 updates tracked since 2018).

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About Alex Clayton Irwin Ag-acnp NPPES

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

ALEX CLAYTON IRWIN AG-ACNP (NPI 1275028128) is an individual acute care provider in Anderson, Indiana, licensed in Indiana (71008268A) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Fishers, and maintains a secondary practice location in New Castle.

NPPES Registry Identity

NPI1275028128

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameALEX CLAYTON IRWINCredential: AG-ACNP

Location Address2015 JACKSON STAnderson, IN 46016-4337

Mailing Address250 W 96th St # 520Indianapolis, IN 46260-1316

Phone(765) 649-2511

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 23, 2018

Last NPPES UpdateNovember 3, 20213 updates tracked since enumeration

NPPES CertifiedNovember 3, 2021

✔ NPI 1275028128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in IN · 71008268A

2015 JACKSON ST, Anderson, IN 46016

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Secondary Practice Location 1

Location 11000 N 16th StNew Castle, IN 47362-4319 · Phone (765) 521-0890

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alex Clayton Irwin Ag-acnp 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 ID9830440817

PECOS Enrollment IDI20181002001007

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 Alex Irwin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Vincent Medical Group, Inc.

26 mi

Internal Medicine

13450 N MERIDIAN ST STE 363
Carmel, IN 46032

Reassigned Medicare billing, Indiana enrollment
945 clinicians in this Medicare group

NPI 1033999370 (317) 582-8315

St Vincent Physician Services Hospital And Health Care Center

30 mi

Family Medicine

2001 W 86TH ST
Indianapolis, IN 46260

Reassigned Medicare billing, Indiana enrollment
510 clinicians in this Medicare group

NPI 1669422234 (317) 338-2273

Chestnut Health Of Indiana PC

34 mi

Internal Medicine

3518 S LAFOUNTAIN ST
Kokomo, IN 46902

Reassigned Medicare billing, Indiana enrollment
18 clinicians in this Medicare group

NPI 1730884131 (765) 453-4667

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

Areas of Expertise CMS Part B claims 4

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

505 services35 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

155 services26 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

39 services38 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

33 services33 patients

Hospital Affiliations CMS Care Compare

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

Ascension St Vincent Fishers

Acute Care Hospitals · Fishers, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number150181

Location13861 Olio RoadFishers, IN 46037 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46016 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.

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.

ST.VINCENT ANDERSON REGIONAL HOSPITAL

Emergency Medicine