Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexander Ayres Mearhoff-Nickum

Individual provider Nurse Practitioner · NPI 1063287910

Alexander Ayres Mearhoff-Nickum is a Nurse Practitioner in Easton, Pennsylvania. Qualified in 2023, 3 years ago. Practices with St Lukes Physician Group Inc, a 2,127-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2023
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Practice location Address checks out

1872 St Lukes Blvd
Easton, PA 18045-5669
Phone: (484) 526-6643
Fax: (484) 526-4658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP028695 (PA)

Record details

NPI number1063287910
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 21, 2023
Last updated in NPPESDecember 14, 2023
Certification dateDecember 14, 2023
Mailing address1872 St Lukes Blvd, Easton, PA 18045-5669

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice St Lukes Physician Group Inc — 2127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Easton