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MISS ALEXANDRA CLARK NP
NPI 1043829641
Nurse Practitioner - Family in Rochester, NY

Active since July 29, 2020PECOS EnrolledAccepts Medicare Assignment
90.58/100
CMS Quality Rating
200 CANAL VIEW BLVD STE 100, ROCHESTER, NY 14623(585) 444-8422(585) 444-8815 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 5, 2024, Jul 3, 2023, Sep 8, 2022 and 2 more (5 updates tracked since 2020).

About Miss Alexandra Clark Np NPPES

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

MISS ALEXANDRA CLARK NP (NPI 1043829641) is an individual family provider in Rochester, New York, licensed in New York (346254) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1043829641
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS ALEXANDRA CLARKCredential: NP
Location Address200 CANAL VIEW BLVD STE 100Rochester, NY 14623-2850
Mailing Address200 Canal View Blvd Ste 100Rochester, NY 14623-2850 · (585) 444-8422
Phone(585) 444-8422
Fax(585) 444-8815
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 29, 2020
Last NPPES UpdateNovember 5, 20245 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1043829641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 346254
Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License 346254 (NY)
200 CANAL VIEW BLVD STE 100, Rochester, NY 14623
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1601 Elmwood AveRochester, NY 14642-0001 · Phone (585) 275-1611
Location 2160 Sawgrass Dr Ste 120Rochester, NY 14620-4654 · Phone (585) 275-1611

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Alexandra Clark Np 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 ID8224458153
PECOS Enrollment IDI20201015000370
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.

Medicare Billing Reassignment

Medicare enrollment records show Alexandra Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Flower City Dermatology PC
Same address
Dermatology
200 CANAL VIEW BLVD STE 100
Rochester, NY 14623
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1578294518 (585) 749-8534

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14623 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost56.5

Other Providers at the Same Location NPPES 3

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

DR. KATHRYN ELIZABETH SOMERS M.D.
Dermatology
200 CANAL VIEW BLVD STE 100
ROCHESTER, NY 14623
Monroe County (585) 444-8422
FLOWER CITY DERMATOLOGY PC
Dermatology
200 CANAL VIEW BLVD STE 100
ROCHESTER, NY 14623
Monroe County (585) 749-8534
ERIN MANOLES PA-C
Physician Assistant
200 CANAL VIEW BLVD STE 100
ROCHESTER, NY 14623
Monroe County (585) 444-8422

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 Clark's NPI number?

The NPI number for Alexandra Clark is 1043829641. It was assigned to this individual provider in the NPPES registry on July 29, 2020.

Where is Alexandra Clark located?

Alexandra Clark practices at 200 Canal View Blvd Ste 100, Rochester, NY 14623. The listed phone number is (585) 444-8422.

What is Alexandra Clark's specialty?

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

Is Alexandra Clark enrolled in Medicare?

Yes. Alexandra Clark 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.

Which organization bills Medicare for Alexandra Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Clark reassigns Medicare benefits to Flower City Dermatology PC (Rochester, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexandra Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alexandra Clark was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.