ALEXIS JORDAN MANDERY OD
NPI 1447182027
Optometrist in Stillwater, MN

Q: What is Alexis Mandery's NPI number?

The NPI number for Alexis Mandery is 1447182027. It was assigned to this individual provider in the NPPES registry on May 30, 2026.

Q: What is Alexis Mandery's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Alexis Mandery was last updated on May 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 30, 2026PECOS EnrolledAccepts Medicare Assignment

1719 TOWER DR W STE 100, STILLWATER, MN 55082(651) 275-3000(651) 275-3027 Get Directions Write a Review

NPPES record last updated: May 30, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Alexis Jordan Mandery Od NPPES

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

ALEXIS JORDAN MANDERY OD (NPI 1447182027) is an individual optometrist in Stillwater, Minnesota, licensed in Minnesota (4053) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2026).

NPPES Registry Identity

NPI1447182027

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameALEXIS JORDAN MANDERYCredential: OD

Location Address1719 TOWER DR W STE 100Stillwater, MN 55082-7512

Mailing Address1719 Tower Dr W Ste 100Stillwater, MN 55082-7512 · (651) 275-3000

Phone(651) 275-3000

Fax(651) 275-3027

Sole ProprietorNo

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2026

Enumeration DateMay 30, 2026

NPPES CertifiedMay 19, 2026

✔ NPI 1447182027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MN · 4053

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1719 TOWER DR W STE 100, Stillwater, MN 55082

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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

Alexis Jordan Mandery Od 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 ID1254804099

PECOS Enrollment IDI20260624001088

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 55082 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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

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

ASSOCIATED EYE CARE OPTICAL LLC

Eyewear Supplier

1719 TOWER DR W STE 100
STILLWATER, MN 55082

Washington County (651) 275-3050

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 Alexis Mandery's NPI number?

The NPI number for Alexis Mandery is 1447182027. It was assigned to this individual provider in the NPPES registry on May 30, 2026.

Where is Alexis Mandery located?

Alexis Mandery practices at 1719 Tower Dr W Ste 100, Stillwater, MN 55082. The listed phone number is (651) 275-3000.

What is Alexis Mandery's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Alexis Mandery enrolled in Medicare?

Yes. Alexis Mandery 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.

When was this NPI record last updated?

The NPPES record for Alexis Mandery was last updated on May 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.