ALEXA NOELLE GRANT
NPI 1982570057
Nurse Practitioner - Family in Pontiac, IL
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Alexa Grant reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, ILPhysician 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.
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.
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.
Which organization bills Medicare for Alexa Grant's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexa Grant reassigns Medicare benefits to Osf Multi-Specialty Group (Peoria, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexa Grant's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 12 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.
# Alexa Noelle Grant · NPI 1982570057
Family physician in Pontiac, Illinois. Individual provider, active in the CMS NPPES registry since October 15, 2025.
## Identity
- **NPI:** 1982570057 (Entity type: Individual)
- **Enumerated:** October 15, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209033540 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 W REYNOLDS ST, Pontiac, IL 61764-9774
- **Phone:** (815) 842-2828
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Osf Multi-Specialty Group (NPI 1154908929, Peoria, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** October 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1982570057) · Data from the CMS NPPES public registry.