Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Alexandra Koeltzow's specialty?

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

Active since July 02, 2019PECOS EnrolledAccepts Medicare Assignment

13790 BRIDGEWATER CROSSINGS BLVD STE 1080, WINDERMERE, FL 34786(407) 201-9163(407) 392-9063 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 13, 2026, Jan 28, 2020, Jul 22, 2019 and 2 more (5 updates tracked since 2019).

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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 Windermere, 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 3 additional practice locations.

NPPES Registry Identity

NPI1205498078

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameALEXANDRA DOMINIQUE KOELTZOWCredential: APRN

Location Address13790 BRIDGEWATER CROSSINGS BLVD STE 1080Windermere, FL 34786-5447

Mailing Address13790 Bridgewater Crossings Blvd Ste 1080Windermere, FL 34786-5447 · (407) 201-9163 · Fax (407) 392-9063

Phone(407) 201-9163

Fax(407) 392-9063

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 2, 2019

Last NPPES UpdateAugust 13, 20265 updates tracked since enumeration

NPPES CertifiedAugust 13, 2026

✔ 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)

13790 BRIDGEWATER CROSSINGS BLVD STE 1080, Windermere, FL 34786

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Secondary Practice Locations 3

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

Location 332 W Gore StOrlando, FL 32806-1134 · Phone (321) 841-3581 · Fax (321) 843-5177

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 34786 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 2

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

ALESIA NEW MS, CNS, LDN, NBCHWC

Nutritionist

13790 BRIDGEWATER CROSSINGS BLVD STE 1080
WINDERMERE, FL 34786

Orange County (407) 476-5893

RACHEL BOND

Counselor (Mental Health)

13790 BRIDGEWATER CROSSINGS BLVD STE 1080
WINDERMERE, FL 34786

Orange County (321) 316-3810

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 13790 Bridgewater Crossings Blvd Ste 1080, Windermere, FL 34786. The listed phone number is (407) 201-9163.

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 August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.