Alexis Kylie Spence, PA
NPI 1861093478ActiveIndividual· Physician Assistant· Smyrna, TN
Physician Assistant (PA) with Integumetrix, practicing in Smyrna, Tennessee. 330 Medicare patients in 2024, $60,228 paid; nearly all of their 154 Part D prescriptions were generic (92%). Smith+nephew, Inc. was the largest of 10 companies reporting payments in 2025, $766.06 in all, mostly food and beverage. Lists Tristar Centennial Medical Center and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1861093478 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Nov 2, 2020 |
| Last updated in NPPES | Oct 20, 2023 |
| Certified by provider | Oct 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 4664 | TN |
| Physician Assistant | 363A00000X | 324757 | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 330 |
|---|---|
| Services billed | 1,320 across 30 procedure codes |
| Paid by Medicare | $60,228 |
Part D prescriptions in 2024
| Prescriptions (claims) | 154 · 154 30-day fills |
|---|---|
| Patients | 76 |
| Total drug cost | $19,665 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- IntegumetrixNashville, TN · 17 clinicians
Hospital affiliations
- Tristar Centennial Medical CenterNashville, TN
- Tristar Hendersonville Medical CenterHendersonville, TN
- Tristar Stonecrest Medical CenterSmyrna, TN
- Tristar Summit Medical CenterHermitage, TN
Other facilities
- Home Care SolutionsHome health agency · Mount Juliet, TN
Industry payments (Open Payments)
- 2025$766.06 · 32 payments from 10 companies
- 2024$594.16 · 21 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Smith+nephew, Inc. | $297.86 | 6 |
| Lifenet Health | $251.11 | 15 |
| Abbvie Inc. | $55.88 | 2 |
| Kerecis Limited | $52.05 | 3 |
| Tactile Systems Technology Inc | $22.15 | 1 |
What the 2025 payments were for
- Food and Beverage$766.06 · 32 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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