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ALEXA INGOLD PA-C
NPI 1922717701
Physician Assistant in De Pere, WI

Active since November 21, 2022Opted out of Medicare · through Oct 1, 2026
444 REID STREET, SUITE 300, #114, DE PERE, WI 54115(920) 212-8642 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2024, Jun 17, 2024, May 7, 2024 and 2 more (5 updates tracked since 2022).

About Alexa Ingold Pa-c NPPES

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

ALEXA INGOLD PA-C (NPI 1922717701) is an individual physician assistant in De Pere, Wisconsin, licensed in Wisconsin (7833-23) and active in the NPI registry since November 2022. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1922717701
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALEXA INGOLDCredential: PA-C
Location Address444 REID STREET, SUITE 300, #114De Pere, WI 54115
Mailing Address7901 4th St N # 17715St Petersburg, FL 33702-4305 · (920) 212-8642
Phone(920) 212-8642
Sole ProprietorNo
Enumeration DateNovember 21, 2022
Last NPPES UpdateJuly 11, 20245 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1922717701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in WI · 7833-23✔ Licensed in FL · 9116888
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
444 REID STREET, SUITE 300, De Pere, WI 54115
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Alexa Ingold Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Ingold's NPI number?

The NPI number for Alexa Ingold is 1922717701. It was assigned to this individual provider in the NPPES registry on November 21, 2022.

Where is Alexa Ingold located?

Alexa Ingold practices at 444 Reid Street, Suite 300 #114, De Pere, WI 54115. The listed phone number is (920) 212-8642.

What is Alexa Ingold's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alexa Ingold enrolled in Medicare?

No. Alexa Ingold has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Alexa Ingold accept?

Health plans from Providence Health Plan list Alexa Ingold 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 Alexa Ingold was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.