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

Alexis E Croucher, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1134742539

Alexis E Croucher, AGACNP is a Nurse Practitioner in Portland, Oregon. Qualified in 2020, 6 years ago. Practices with University Professional Services, a 1,704-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York and Oregon.

Years since qualifying
6
Licensed in
NY, OR
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

9135 SW Barnes Rd Ste 461
Portland, OR 97225-6643
Phone: (503) 216-1150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 Elmwood Ave, Rochester, NY 14642-0001 — (585) 275-5474

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 202007508NP-PP (OR)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 202007508NP-PP (OR)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 431732 (NY)

Record details

NPI number1134742539
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedMay 20, 2020
Last updated in NPPESJanuary 15, 2021
Certification dateJanuary 15, 2021
Mailing addressPo Box 3158, Portland, OR 97208-3158

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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