MRS. ALEXANDRA KARIN BEVACQUA
NPI 1104787639
Nurse Practitioner - Family in Wall Township, NJ
About Mrs. Alexandra Karin Bevacqua NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ALEXANDRA KARIN BEVACQUA (NPI 1104787639) is an individual family provider in Wall Township, New Jersey, licensed in New Jersey (26NJ15041900) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Alexandra Karin Bevacqua 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07719 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WALL TOWNSHIP, NJ 07719
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 Bevacqua's NPI number?
The NPI number for Alexandra Bevacqua is 1104787639. It was assigned to this individual provider in the NPPES registry on November 24, 2025.
Where is Alexandra Bevacqua located?
Alexandra Bevacqua practices at 1959 Rte 34 Ste 202, Wall Township, NJ 07719. The listed phone number is (732) 943-1811.
What is Alexandra Bevacqua's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Alexandra Bevacqua enrolled in Medicare?
Yes. Alexandra Bevacqua 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 Bevacqua was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mrs. Alexandra Karin Bevacqua · NPI 1104787639
Family physician in Wall Township, New Jersey. Individual provider, active in the CMS NPPES registry since November 24, 2025.
## Identity
- **NPI:** 1104787639 (Entity type: Individual)
- **Enumerated:** November 24, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ15041900 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 1959 RTE 34 STE 202, Wall Township, NJ 07719-9790
- **Phone:** (732) 943-1811
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** November 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104787639) · Data from the CMS NPPES public registry.