ALEXANDRA LEIGH RADERSTORF APRN
NPI 1225803083
Nurse Practitioner - Family in Jacksonville, FL

Q: What is Alexandra Raderstorf's NPI number?

The NPI number for Alexandra Raderstorf is 1225803083. It was assigned to this individual provider in the NPPES registry on November 21, 2023.

Q: What is Alexandra Raderstorf's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since November 21, 2023PECOS Enrolled

10881 SAN JOSE BLVD, JACKSONVILLE, FL 32223(904) 880-5522(904) 880-5533 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 15, 2026, Nov 21, 2023 (2 updates tracked since 2023).

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About Alexandra Leigh Raderstorf Aprn NPPES

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

ALEXANDRA LEIGH RADERSTORF APRN (NPI 1225803083) is an individual family provider in Jacksonville, Florida, licensed in Florida (APRN11029673) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225803083

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameALEXANDRA LEIGH RADERSTORFCredential: APRN

Location Address10881 SAN JOSE BLVDJacksonville, FL 32223-6612

Mailing Address10881 San Jose BlvdJacksonville, FL 32223-6612 · (904) 880-5522 · Fax (904) 880-5533

Phone(904) 880-5522

Fax(904) 880-5533

Sole ProprietorNo

Enumeration DateNovember 21, 2023

Last NPPES UpdateJanuary 15, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2026

✔ NPI 1225803083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · APRN11029673

10881 SAN JOSE BLVD, Jacksonville, FL 32223

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra Leigh Raderstorf Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32223 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 9

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

RYAN S PERKINS M.D.

Radiology (Radiation Oncology)