DR. ALEXANDRA WISE-EHLERS MD
NPI 1417418484
Pediatrics in Siloam Springs, AR
About Dr. Alexandra Wise-ehlers Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ALEXANDRA WISE-EHLERS MD (NPI 1417418484) is an individual pediatrics provider in Siloam Springs, Arkansas, licensed in Arkansas (E-16660) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Alexandra Wise-ehlers Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Alexandra Wise-ehlers reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Siloam Springs, AR 72761
- Reassigned Medicare billing, Arkansas enrollment
- 55 clinicians in this Medicare group
Fayetteville, AR 72703
- Reassigned Medicare billing, Arkansas enrollment
- 123 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72761 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Alexandra Wise-ehlers's NPI number?
The NPI number for Alexandra Wise-ehlers is 1417418484. It was assigned to this individual provider in the NPPES registry on March 30, 2019.
Where is Alexandra Wise-ehlers located?
Alexandra Wise-ehlers practices at 1101 N Progress Ave Unit 2, Siloam Springs, AR 72761. The listed phone number is (501) 526-6020.
What is Alexandra Wise-ehlers's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Alexandra Wise-ehlers enrolled in Medicare?
Yes. Alexandra Wise-ehlers is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Alexandra Wise-ehlers's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Wise-ehlers reassigns Medicare benefits to 2 organizations: St Francis House Nwa, Inc (Siloam Springs, AR) and Washington Regional Medical System (Fayetteville, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexandra Wise-ehlers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alexandra Wise-ehlers accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Alexandra Wise-ehlers as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Alexandra Wise-ehlers was last updated on July 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Alexandra Wise-Ehlers, MD · NPI 1417418484
Pediatrics physician in Siloam Springs, Arkansas. Individual provider, active in the CMS NPPES registry since March 30, 2019.
## Identity
- **NPI:** 1417418484 (Entity type: Individual)
- **Enumerated:** March 30, 2019
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** E-16660 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1101 N PROGRESS AVE UNIT 2, Siloam Springs, AR 72761-4343
- **Phone:** (501) 526-6020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St Francis House Nwa, Inc (NPI 1396507471, Siloam Springs, AR); Washington Regional Medical System (NPI 1306801485, Fayetteville, AR) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 1, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1417418484) · Data from the CMS NPPES public registry.