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ALEXIS JORDAN MANDERY OD
NPI 1447182027
Optometrist in Stillwater, MN

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 25, 2026.

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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Accepted Insurance

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Alexis Mandery reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Associated Eye Care Ltd
1.1 mi
Optometrist
2950 CURVE CREST BLVD W
Stillwater, MN 55082
  • Reassigned Medicare billing, Minnesota enrollment
  • 23 clinicians in this Medicare group
NPI 1881699197 (651) 275-3000

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 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.

Which organization bills Medicare for Alexis Mandery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexis Mandery reassigns Medicare benefits to Associated Eye Care Ltd (Stillwater, MN). The 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 Alexis Mandery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexis Mandery accept?

Health plans from Anthem Blue Cross and Blue Shield list Alexis Mandery 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 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.