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

Alexis Rogers

Individual provider Primary Care Nurse Practitioner · NPI 1588376487

Alexis Rogers is a Nurse Practitioner in Superior Township, Michigan. Qualified in 2022, 4 years ago. Practices with Great Lakes Medicine PLC, a 33-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022

Practice location Address checks out

1657 Cardiff Row
Superior Township, MI 48198-3587
Phone: (734) 536-9391
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 4704356815 (MI)

Record details

NPI number1588376487
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 22, 2022
Last updated in NPPESDecember 22, 2022
Certification dateDecember 22, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Great Lakes Medicine Plc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount