MS. ALEXANDRA CHRISTINE ELLISON CRNP
NPI 1104257286
Nurse Practitioner - Pediatrics in Philadelphia, PA
About Ms. Alexandra Christine Ellison Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. ALEXANDRA CHRISTINE ELLISON CRNP (NPI 1104257286) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP013363) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Alexandra Christine Ellison Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Alexandra Ellison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19134
- Reassigned Medicare billing, Pennsylvania enrollment
- 479 clinicians in this Medicare group
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 19134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
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 Ellison's NPI number?
The NPI number for Alexandra Ellison is 1104257286. It was assigned to this individual provider in the NPPES registry on November 27, 2013.
Where is Alexandra Ellison located?
Alexandra Ellison practices at 3601 A St, Philadelphia, PA 19134. The listed phone number is (215) 427-8187.
What is Alexandra Ellison's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Alexandra Ellison enrolled in Medicare?
Yes. Alexandra Ellison is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Alexandra Ellison's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Ellison reassigns Medicare benefits to Stc Pediatrics LLC (Philadelphia, PA). 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 Ellison'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 Ellison was last updated on February 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Ms. Alexandra Christine Ellison, CRNP · NPI 1104257286
Pediatrics physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since November 27, 2013.
## Identity
- **NPI:** 1104257286 (Entity type: Individual)
- **Enumerated:** November 27, 2013
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** SP013363 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3601 A ST, Philadelphia, PA 19134-1043
- **Phone:** (215) 427-8187
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Stc Pediatrics LLC (NPI 1346884574, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 7, 2014
---
Source: [NPI Profile](https://npiprofile.com/npi/1104257286) · Data from the CMS NPPES public registry.