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ALEXIS KARI BAGWELL MD
NPI 1861997447
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since March 27, 2018PECOS Enrolled
3181 SW SAM JACKSON PARK RD # L-579, PORTLAND, OR 97239(503) 494-8211 Get Directions Write a Review

NPPES record last updated: March 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alexis Kari Bagwell Md NPPES

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

ALEXIS KARI BAGWELL MD (NPI 1861997447) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861997447
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALEXIS KARI BAGWELLCredential: MD
Location Address3181 SW SAM JACKSON PARK RD # L-579Portland, OR 97239-3098
Mailing Address3181 Sw Sam Jackson Park Rd # L-579Portland, OR 97239-3098 · (503) 494-8211
Phone(503) 494-8211
Sole ProprietorNo
Enumeration DateMarch 27, 2018
✔ NPI 1861997447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3181 SW SAM JACKSON PARK RD # L-579, Portland, OR 97239
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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 (PECOS)

Alexis Kari Bagwell Md 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. CLAIRE MCCORD CONRAD MD
Pediatrics
3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
Multnomah County (503) 494-8211
LYNDSEY SANDOW MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
Multnomah County (503) 494-8311
MS. ERIKA BENNETT MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
Multnomah County (503) 494-8211
DR. WILLIAM ANDREW FRIZZELL M.D.
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
Multnomah County (503) 494-8211
DR. ZOE ANN THUESMUNN MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
Multnomah County (503) 494-8652
DR. BOONE ARTHUR RHINEHART DO
Pediatrics
3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
Multnomah County (503) 346-0640
BRET GILBERT
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
Multnomah County (503) 494-8211
DR. PHILIP JAMES BLATT MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
Multnomah County (503) 494-8211

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 Bagwell's NPI number?

The NPI number for Alexis Bagwell is 1861997447. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Alexis Bagwell located?

Alexis Bagwell practices at 3181 SW Sam Jackson Park Rd # L-579, Portland, OR 97239. The listed phone number is (503) 494-8211.

What is Alexis Bagwell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alexis Bagwell enrolled in Medicare?

Yes. Alexis Bagwell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexis Bagwell was last updated on March 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.