ALEXA FISHBURN DO
NPI 1508569179
Family Medicine in Sandy, UT
About Alexa Fishburn Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXA FISHBURN DO (NPI 1508569179) is an individual family medicine provider in Sandy, Utah, licensed in Utah (141310081204) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and is a graduate of Rocky Vista University College Of Osteopathic Med (2023).
NPPES Registry Identity
Specialties & Licenses
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
Alexa Fishburn Do 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mckay-Dee Hospital
Acute Care Hospitals · Ogden, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84094 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Alexa Fishburn's NPI number?
The NPI number for Alexa Fishburn is 1508569179. It was assigned to this individual provider in the NPPES registry on March 23, 2023.
Where is Alexa Fishburn located?
Alexa Fishburn practices at 955 E 11400 S, Sandy, UT 84094. The listed phone number is (801) 571-0030.
What is Alexa Fishburn's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Alexa Fishburn enrolled in Medicare?
Yes. Alexa Fishburn 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 Alexa Fishburn affiliated with any hospitals?
According to CMS data, Alexa Fishburn is affiliated with Mckay-Dee Hospital.
When was this NPI record last updated?
The NPPES record for Alexa Fishburn was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.
# Alexa Fishburn, DO · NPI 1508569179
Family Medicine physician in Sandy, Utah. Individual provider, active in the CMS NPPES registry since March 23, 2023.
## Identity
- **NPI:** 1508569179 (Entity type: Individual)
- **Enumerated:** March 23, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 141310081204 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 955 E 11400 S, Sandy, UT 84094-6946
- **Phone:** (801) 571-0030
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Rocky Vista University College Of Osteopathic Med, class of 2023
## Record status
- **NPPES last updated:** September 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1508569179) · Data from the CMS NPPES public registry.