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ALEXANDRA DOMINIQUE KOELTZOW APRN
NPI 1205498078
Nurse Practitioner - Adult Health in Orlando, FL

Active since July 02, 2019PECOS EnrolledAccepts Medicare Assignment
32 W GORE ST, ORLANDO, FL 32806(321) 841-3581(321) 843-5177 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2020, Jul 22, 2019, Jul 12, 2019 and 1 more (4 updates tracked since 2019).

About Alexandra Dominique Koeltzow Aprn NPPES

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

ALEXANDRA DOMINIQUE KOELTZOW APRN (NPI 1205498078) is an individual adult health provider in Orlando, Florida, licensed in Florida (APRN11003194) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Orlando Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205498078
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameALEXANDRA DOMINIQUE KOELTZOWCredential: APRN
Location Address32 W GORE STOrlando, FL 32806-1134
Mailing Address32 W Gore StOrlando, FL 32806-1134 · (321) 841-3581 · Fax (321) 843-5177
Phone(321) 841-3581
Fax(321) 843-5177
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 2, 2019
Last NPPES UpdateOctober 30, 20254 updates tracked since enumeration
NPPES CertifiedOctober 30, 2025
✔ NPI 1205498078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · APRN11003194
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License RN9390112 (FL)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 11003194 (FL)
32 W GORE ST, Orlando, FL 32806
Open in Google Maps ↗

Secondary Practice Locations 2

Location 19400 Turkey Lake Rd # Mp453Orlando, FL 32819-8001 · Phone (321) 842-2655
Location 27319 Stonerock Cir Ste 106Orlando, FL 32819-8002 · Phone (407) 248-9800

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 Dominique Koeltzow Aprn 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 ID3274863055
PECOS Enrollment IDI20251015001637
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.

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32806 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

EDDYME DANGER MD
Physical Medicine & Rehabilitation
32 W GORE ST, 2ND FLOOR
ORLANDO, FL 32806
Orange County (407) 649-6151
DR. BARINDER SINGH MAHAL M.D.
Physical Medicine & Rehabilitation
32 W GORE ST, 5TH FLOOR
ORLANDO, FL 32806
Orange County (407) 649-6151
ALLYSON L FORTIS APRN
Nurse Practitioner (Adult Health)
32 W GORE ST
ORLANDO, FL 32806
Orange County (407) 649-6879
BRANDON DONLEY
Student in an Organized Health Care Education/Training Program
32 W GORE ST
ORLANDO, FL 32806
Orange County (321) 843-3536
BRITTANY HARRIS
Nurse Practitioner (Adult Health)
32 W GORE ST, FL 3
ORLANDO, FL 32806
Orange County (407) 352-5434
STEPHEN J ROSENBERG MD
Psychiatry & Neurology (Neurology)
32 W GORE ST
ORLANDO, FL 32806
Orange County (407) 351-1112
AMPARO GUTIERREZ MD
Psychiatry & Neurology (Neuromuscular Medicine)
32 W GORE ST
ORLANDO, FL 32806
Orange County (407) 352-5434
DR. CHRISTINE B BAILEY PH.D.
Clinical Neuropsychologist
32 W GORE ST
ORLANDO, FL 32806
Orange County (321) 841-3820

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 Koeltzow's NPI number?

The NPI number for Alexandra Koeltzow is 1205498078. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Where is Alexandra Koeltzow located?

Alexandra Koeltzow practices at 32 W Gore St, Orlando, FL 32806. The listed phone number is (321) 841-3581.

What is Alexandra Koeltzow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Alexandra Koeltzow enrolled in Medicare?

Yes. Alexandra Koeltzow 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.

Is Alexandra Koeltzow affiliated with any hospitals?

According to CMS data, Alexandra Koeltzow is affiliated with Orlando Health.

When was this NPI record last updated?

The NPPES record for Alexandra Koeltzow was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.