ALEXA NOELLE GRANT
NPI 1982570057
Nurse Practitioner - Family in Pontiac, IL

Active since October 15, 2025PECOS EnrolledAccepts Medicare Assignment
2500 W REYNOLDS ST, PONTIAC, IL 61764(815) 842-2828 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Alexa Noelle Grant NPPES

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

ALEXA NOELLE GRANT (NPI 1982570057) is an individual family provider in Pontiac, Illinois, licensed in Illinois (209033540) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, is affiliated with Saint James Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1982570057
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALEXA NOELLE GRANT
Location Address2500 W REYNOLDS STPontiac, IL 61764-9774
Mailing Address435 W Cook StManteno, IL 60950-1660
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
NPI 1982570057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209033540
2500 W REYNOLDS ST, Pontiac, IL 61764

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 Noelle Grant 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 ID3476047556
PECOS Enrollment IDI20251216002378
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint James Hospital

Acute Care Hospitals · Pontiac, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140161
Location2500 West Reynolds StreetPontiac, IL 61764 · Livingston County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61764 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
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 20

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

Occupational Therapist
2500 W REYNOLDS ST
PONTIAC, IL 61764
Medicare Defined Swing Bed Unit
2500 W REYNOLDS ST
PONTIAC, IL 61764
Physician Assistant
2500 W REYNOLDS ST
PONTIAC, IL 61764
Registered Nurse
2500 W REYNOLDS ST
PONTIAC, IL 61764
Occupational Therapy Assistant
2500 W REYNOLDS ST
PONTIAC, IL 61764
Occupational Therapist
2500 W REYNOLDS ST
PONTIAC, IL 61764
Developmental Therapist
2500 W REYNOLDS ST
PONTIAC, IL 61764
Family Medicine
2500 W REYNOLDS ST
PONTIAC, IL 61764

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 Grant's NPI number?

The NPI number for Alexa Grant is 1982570057. It was assigned to this individual provider in the NPPES registry on October 15, 2025.

Where is Alexa Grant located?

Alexa Grant practices at 2500 W Reynolds St, Pontiac, IL 61764. The listed phone number is (815) 842-2828.

What is Alexa Grant's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alexa Grant enrolled in Medicare?

Yes. Alexa Grant 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 Grant affiliated with any hospitals?

According to CMS data, Alexa Grant is affiliated with Saint James Hospital.

When was this NPI record last updated?

The NPPES record for Alexa Grant was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.