Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ALEXIS RAEANN DETIENNE
NPI 1861327256
Anesthesiology in Columbia, MO

Q: What is Alexis Detienne's NPI number?

The NPI number for Alexis Detienne is 1861327256. It was assigned to this individual provider in the NPPES registry on June 16, 2026.

Q: What is Alexis Detienne's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Alexis Detienne was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 16, 2026PECOS Enrolled

1 HOSPITAL DR, COLUMBIA, MO 65212(573) 882-2568 Get Directions Write a Review

NPPES record added: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Alexis Raeann Detienne NPPES

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

ALEXIS RAEANN DETIENNE (NPI 1861327256) is an individual anesthesiology provider in Columbia, Missouri, licensed in Missouri (2026021495) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861327256

Entity TypeIndividualFemale

Primary Taxonomy207L00000X

Provider Legal NameALEXIS RAEANN DETIENNE

Location Address1 HOSPITAL DRColumbia, MO 65212-1000

Mailing Address1 Hospital DrColumbia, MO 65212-1000

Phone(573) 882-2568

Sole ProprietorYes

Enumeration DateJune 16, 2026

NPPES CertifiedJune 16, 2026

✔ NPI 1861327256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in MO · 2026021495

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

1 HOSPITAL DR, Columbia, MO 65212

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexis Raeann Detienne is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

DR. RAHUL JAIN M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)