ALEXANDRA KOONTZ PA-C
NPI 1114703063
Physician Assistant in Crown Point, IN

Q: What is Alexandra Koontz's NPI number?

The NPI number for Alexandra Koontz is 1114703063. It was assigned to this individual provider in the NPPES registry on September 6, 2023.

Q: What is Alexandra Koontz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Alexandra Koontz was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 06, 2023PECOS EnrolledAccepts Medicare Assignment

12750 SAINT FRANCIS DR STE 320, CROWN POINT, IN 46307(219) 662-0077(219) 662-9496 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Alexandra Koontz Pa-c NPPES

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

ALEXANDRA KOONTZ PA-C (NPI 1114703063) is an individual physician assistant in Crown Point, Indiana, licensed in Indiana (10004186A) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Franciscan Health Crown Point, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114703063

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameALEXANDRA KOONTZCredential: PA-C

Location Address12750 SAINT FRANCIS DR STE 320Crown Point, IN 46307-0264

Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479

Phone(219) 662-0077

Fax(219) 662-9496

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 6, 2023

Last NPPES UpdateJanuary 12, 2024

NPPES CertifiedJanuary 12, 2024

✔ NPI 1114703063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IN · 10004186A

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

12750 SAINT FRANCIS DR STE 320, Crown Point, IN 46307

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Secondary Practice Locations 2

Location 11201 S Main StCrown Point, IN 46307-8481 · Phone (219) 738-2199

Location 21205 S Main St Ste 101Crown Point, IN 46307-3677 · Phone (219) 662-0077 · Fax (219) 681-6701

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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 Koontz Pa-c 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 ID7416306717

PECOS Enrollment IDI20231212003028

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150126

Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46307 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

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 6

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

GEORGE ANESTIS FOTOPOULOS NP

Nurse Practitioner