ALEXANDRA ISABELLA YACUB
NPI 1003523754
Nurse Practitioner - Family in Buffalo, NY

Active since November 02, 2022PECOS EnrolledAccepts Medicare Assignment
1021 BROADWAY ST, BUFFALO, NY 14212(716) 529-3020(716) 529-3040 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2024, May 6, 2024, Nov 2, 2022 (3 updates tracked since 2022).

About Alexandra Isabella Yacub NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRA ISABELLA YACUB (NPI 1003523754) is an individual family provider in Buffalo, New York, licensed in New York (F350635) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1003523754
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALEXANDRA ISABELLA YACUB
Location Address1021 BROADWAY STBuffalo, NY 14212-1460
Mailing Address1021 Broadway StBuffalo, NY 14212-1460 · (716) 529-3020 · Fax (716) 529-3040
Fax(716) 529-3040
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 2, 2022
Last NPPES UpdateSeptember 19, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
NPI 1003523754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · F350635
1021 BROADWAY ST, Buffalo, NY 14212

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alexandra Isabella Yacub is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547628786
PECOS Enrollment IDI20230621001915
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1021 BROADWAY ST
BUFFALO, NY 14212
Peer Specialist
1021 BROADWAY ST
BUFFALO, NY 14212
Counselor (Mental Health)
1021 BROADWAY ST
BUFFALO, NY 14212
Peer Specialist
1021 BROADWAY ST
BUFFALO, NY 14212
Social Worker
1021 BROADWAY ST
BUFFALO, NY 14212
Nurse Practitioner (Family)
1021 BROADWAY ST
BUFFALO, NY 14212
Peer Specialist
1021 BROADWAY ST
BUFFALO, NY 14212
Nurse Practitioner (Family)
1021 BROADWAY ST
BUFFALO, NY 14212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexandra Yacub's NPI number?

The NPI number for Alexandra Yacub is 1003523754. It was assigned to this individual provider in the NPPES registry on November 2, 2022.

Where is Alexandra Yacub located?

Alexandra Yacub practices at 1021 Broadway St, Buffalo, NY 14212. The listed phone number is (716) 529-3020.

What is Alexandra Yacub's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alexandra Yacub enrolled in Medicare?

Yes. Alexandra Yacub is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Alexandra Yacub was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.