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JEXANDRIA DOMINIQUE PATTERSON APRN
NPI 1093290629
Nurse Practitioner - Family in Decatur, GA

Active since September 29, 2018PECOS Enrolled
144 SCOTT BLVD, DECATUR, GA 30030(404) 947-1723(404) 947-1723 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 12, 2022, Dec 9, 2019, Sep 29, 2018 (3 updates tracked since 2018).

About Jexandria Dominique Patterson Aprn NPPES

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

JEXANDRIA DOMINIQUE PATTERSON APRN (NPI 1093290629) is an individual family provider in Decatur, Georgia, licensed in Georgia (RN227581) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093290629
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJEXANDRIA DOMINIQUE PATTERSONCredential: APRN
Location Address144 SCOTT BLVDDecatur, GA 30030-2307
Mailing AddressPo Box 55255Atlanta, GA 30308-5255 · (404) 947-1723 · Fax (305) 466-9989
Phone(404) 947-1723
Fax(404) 947-1723
Sole ProprietorYes
Enumeration DateSeptember 29, 2018
Last NPPES UpdateApril 12, 20223 updates tracked since enumeration
NPPES CertifiedApril 12, 2022
✔ NPI 1093290629 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 GA · RN227581
144 SCOTT BLVD, Decatur, GA 30030
Open in Google Maps ↗

Other Names 1

Other Name (5)Prof. Jexandria Patterson Fnp-bc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jexandria Dominique Patterson Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jexandria Patterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brookview Medical Associates, PLLC
783 mi
General Practice
80 ORVILLE DR STE 100
Bohemia, NY 11716
  • Reassigned Medicare billing, New York enrollment
  • 754 clinicians in this Medicare group
NPI 1871965855 (972) 715-3800

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 30030 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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 Jexandria Patterson's NPI number?

The NPI number for Jexandria Patterson is 1093290629. It was assigned to this individual provider in the NPPES registry on September 29, 2018. The provider is also known as Prof. Jexandria Patterson Fnp-Bc.

Where is Jexandria Patterson located?

Jexandria Patterson practices at 144 Scott Blvd, Decatur, GA 30030. The listed phone number is (404) 947-1723.

What is Jexandria Patterson's specialty?

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

Is Jexandria Patterson enrolled in Medicare?

Yes. Jexandria Patterson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jexandria Patterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jexandria Patterson reassigns Medicare benefits to Brookview Medical Associates, PLLC (Bohemia, 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 Jexandria Patterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jexandria Patterson accept?

Health plans from CareSource (Common Ground Healthcare) list Jexandria Patterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jexandria Patterson was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.