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ALEC WISCOMBE
NPI 1417633322
Nurse Anesthetist, Certified Registered in Harrogate, TN

Active since June 26, 2023Accepts Medicare Assignment
6965 CUMBERLAND GAP PARKWAY, HARROGATE, TN 37752(423) 869-3611 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alec Wiscombe NPPES

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

ALEC WISCOMBE (NPI 1417633322) is an individual nurse anesthetist, certified registered in Harrogate, Tennessee, licensed in Utah (11078999-3102) and active in the NPI registry since June 2023. He is affiliated with St Luke's Regional Medical Center and is a graduate of Other (2025).

NPPES Registry Identity

NPI1417633322
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameALEC WISCOMBE
Location Address6965 CUMBERLAND GAP PARKWAYHarrogate, TN 37752
Mailing Address412 W Founders BlvdSaratoga Spgs, UT 84045 · (423) 307-2037
Phone(423) 869-3611
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 26, 2023
NPPES CertifiedJune 25, 2023
✔ NPI 1417633322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in UT · 11078999-3102
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
6965 CUMBERLAND GAP PARKWAY, Harrogate, TN 37752
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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

Alec Wiscombe 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 ID1052890332
PECOS Enrollment IDI20260206002444

Hospital Affiliations CMS Care Compare

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37752 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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 2

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

ASHLEY K MULLINS
Registered Nurse
6965 CUMBERLAND GAP PARKWAY
HARROGATE, TN 37752
Claiborne County (423) 869-3611
MS. JULIANNE CHRISTINE RAY
Physician Assistant (Medical)
6965 CUMBERLAND GAP PARKWAY, LINCOLN MEMORIAL UNIVERSITY
HARROGATE, TN 37752
Claiborne County (423) 313-3828

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 Alec Wiscombe's NPI number?

The NPI number for Alec Wiscombe is 1417633322. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Where is Alec Wiscombe located?

Alec Wiscombe practices at 6965 Cumberland Gap Parkway, Harrogate, TN 37752. The listed phone number is (423) 869-3611.

What is Alec Wiscombe's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Alec Wiscombe enrolled in Medicare?

Yes. Alec Wiscombe is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Alec Wiscombe affiliated with any hospitals?

According to CMS data, Alec Wiscombe is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Alec Wiscombe was last updated on June 26, 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.