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

ALEXANDRA KRISTOBAK PA-C
NPI 1245614775
Physician Assistant in Wexford, PA

Q: What is Alexandra Kristobak's NPI number?

The NPI number for Alexandra Kristobak is 1245614775. It was assigned to this individual provider in the NPPES registry on July 14, 2015.

Q: What is Alexandra Kristobak's specialty?

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

Active since July 14, 2015PECOS EnrolledAccepts Medicare Assignment

12311 PERRY HWY, WEXFORD, PA 15090(878) 332-4240 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2026, Sep 30, 2020, Jul 13, 2018 and 1 more (4 updates tracked since 2018).

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About Alexandra Kristobak Pa-c NPPES

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

ALEXANDRA KRISTOBAK PA-C (NPI 1245614775) is an individual physician assistant in Wexford, Pennsylvania, licensed in North Carolina (0010-16627) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1245614775

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameALEXANDRA KRISTOBAKCredential: PA-C

Location Address12311 PERRY HWYWexford, PA 15090-8344

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (980) 488-5358

Phone(878) 332-4240

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJuly 14, 2015

Last NPPES UpdateAugust 13, 20264 updates tracked since enumeration

NPPES CertifiedAugust 13, 2026

✔ NPI 1245614775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in NC · 0010-16627✔ Licensed in PA · MA057633

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License MA057633 (PA)

12311 PERRY HWY, Wexford, PA 15090

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Secondary Practice Locations 2

Location 11301 Carlisle StNatrona Heights, PA 15065 · Phone (412) 330-4363

Location 2200 Hawthorne LnCharlotte, NC 28204-2515 · Phone (704) 384-9414

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 Kristobak 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 ID8022325893

PECOS Enrollment IDI20150911001466

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

18 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15090 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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 20

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

BRODY WOOD PT, DPT

Physical Therapist