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ALEXANDRA MARIE CLARK FNP
NPI 1225828429
Nurse Practitioner - Family in Manassas, VA

Active since May 09, 2025PECOS EnrolledAccepts Medicare Assignment
9378 FORESTWOOD LN STE E, MANASSAS, VA 20110(703) 361-7341(703) 368-9757 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 9, 2025, May 9, 2025 (2 updates tracked since 2025).

About Alexandra Marie Clark Fnp NPPES

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

ALEXANDRA MARIE CLARK FNP (NPI 1225828429) is an individual family provider in Manassas, Virginia, licensed in Virginia (0024193146) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, is affiliated with Novant Prince William Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1225828429
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALEXANDRA MARIE CLARKCredential: FNP
Location Address9378 FORESTWOOD LN STE EManassas, VA 20110-4742
Mailing Address9378 Forestwood Ln Ste EManassas, VA 20110-4742 · (703) 361-7341 · Fax (703) 368-9757
Phone(703) 361-7341
Fax(703) 368-9757
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 9, 2025
Last NPPES UpdateJune 9, 20252 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
✔ NPI 1225828429 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 VA · 0024193146
9378 FORESTWOOD LN STE E, Manassas, VA 20110
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexandra Marie Clark Fnp 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 ID7911419643
PECOS Enrollment IDI20250626001633
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.

Medicare Billing Reassignment

Medicare enrollment records show Alexandra Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kidney And Hypertension Specialists PLLC
Same address
Nephrology
9378 FORESTWOOD LN, SUITE E
Manassas, VA 20110
  • Reassigned Medicare billing, Virginia enrollment
  • 6 clinicians in this Medicare group
NPI 1558395863 (703) 361-7341

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Novant Prince William Medical Center

Acute Care Hospitals · Manassas, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490045
Location8700 Sudley RdManassas, VA 20110 · Manassas City County
Emergency services Birthing friendly

Uva Health Haymarket Medical Center

Acute Care Hospitals · Haymarket, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490144
Location15225 Healthcote BoulevardHaymarket, VA 20169 · Prince William County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20110 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 5

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

DR. EUGENE H KIM MD
Internal Medicine (Nephrology)
9378 FORESTWOOD LN STE E
MANASSAS, VA 20110
Manassas City (703) 361-7341
PRIYA CHADDAH PA
Internal Medicine (Nephrology)
9378 FORESTWOOD LN STE E
MANASSAS, VA 20110
Manassas City (703) 361-7341
HIMANI PULIVARTHI MD
Internal Medicine (Nephrology)
9378 FORESTWOOD LN STE E
MANASSAS, VA 20110
Manassas City (703) 361-7341
DR. DAVID JAEHAN YOO M.D.
Internal Medicine (Nephrology)
9378 FORESTWOOD LN STE E
MANASSAS, VA 20110
Manassas City (703) 361-7341
RASHIDA KHATOON RAHMAN MD
Internal Medicine (Nephrology)
9378 FORESTWOOD LN STE E
MANASSAS, VA 20110
Manassas City (703) 361-7341

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 Clark's NPI number?

The NPI number for Alexandra Clark is 1225828429. It was assigned to this individual provider in the NPPES registry on May 9, 2025.

Where is Alexandra Clark located?

Alexandra Clark practices at 9378 Forestwood Ln Ste E, Manassas, VA 20110. The listed phone number is (703) 361-7341.

What is Alexandra Clark's specialty?

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

Is Alexandra Clark enrolled in Medicare?

Yes. Alexandra Clark 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.

Which organization bills Medicare for Alexandra Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Clark reassigns Medicare benefits to Kidney And Hypertension Specialists PLLC (Manassas, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexandra Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Alexandra Clark affiliated with any hospitals?

According to CMS data, Alexandra Clark is affiliated with Novant Prince William Medical Center and Uva Health Haymarket Medical Center.

When was this NPI record last updated?

The NPPES record for Alexandra Clark was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.