Alexis Punches, NP
Alexis Punches, NP is a Critical Care Medicine Nurse Practitioner in Ann Arbor, MI, registered under NPI 1003274283.
Getting there
The practice address on file is 1500 EAST MEDICAL CENTER DR 12TH FLOOR C.S. MOTT CHILDRENS HOSPITAL RM 525, Ann Arbor, MI 48109. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 4704239782 | MI | Critical Care Medicine Nurse Practitioner primary |
This provider holds licence 4704239782 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Critical Care Medicine covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LC0200X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003274283 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Feb 3, 2016 |
| Last updated | May 31, 2016 |
| Status | Active |
| Sole proprietor | No |
| Credential | NP |
| Practice address |
1500 EAST MEDICAL CENTER DR 12TH FLOOR C.S. MOTT CHILDRENS HOSPITAL RM 525 Ann Arbor, MI 48109 (734) 764-5302 |
| Mailing address |
3621 SOUTH STATE STREET 700 KMS PLACE Ann Arbor, MI 48108 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 2 | 7 | 4 | 2 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 4 | 7 | 8 | 2 | 7 |
Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.