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MS. ALEXANDRA MARIE RUTHERFORD MS, RN, PHN, AGPCNP
NPI 1285290726
Nurse Practitioner - Primary Care in San Francisco, CA

Active since May 09, 2019PECOS Enrolled
4150 CLEMENT STREET, SAN FRANCISCO, CA 94121(415) 221-4810 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 4, 2024, Jul 23, 2020, Aug 8, 2019 and 1 more (4 updates tracked since 2019).

About Ms. Alexandra Marie Rutherford Ms, Rn, Phn, Agpcnp NPPES

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

MS. ALEXANDRA MARIE RUTHERFORD MS, RN, PHN, AGPCNP (NPI 1285290726) is an individual primary care provider in San Francisco, California, licensed in California (95012397) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1285290726
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMS. ALEXANDRA MARIE RUTHERFORDCredential: MS, RN, PHN, AGPCNP
Location Address4150 CLEMENT STREETSan Francisco, CA 94121-1545
Mailing Address4150 Clement StSan Francisco, CA 94121-1563 · (415) 221-4810
Phone(415) 221-4810
Sole ProprietorNo
Enumeration DateMay 9, 2019
Last NPPES UpdateJanuary 4, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2024
✔ NPI 1285290726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 95012397
Also ListedRegistered NurseTaxonomy 163W00000X · License 95136326 (CA)
Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License 558319 (CA)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 95012397 (CA)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 95012397 (CA)
4150 CLEMENT STREET, San Francisco, CA 94121
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Other Names 1

Former Name (1)Alexandra Marie Edmondson

Secondary Practice Locations 4

Location 13110 Kerner BlvdSan Rafael, CA 94901-5411 · Phone (415) 448-1500 · Fax (415) 755-2550
Location 23260 Kerner BlvdSan Rafael, CA 94901-4840 · Phone (415) 448-1500 · Fax (415) 755-2550
Location 3180 Sutter StSan Francisco, CA 94104-4007 · Phone (833) 349-0850 ext. 1050 · Fax (415) 944-4973
Location 4117 N San Mateo Dr Ste 1San Mateo, CA 94401-2794 · Phone (650) 425-9408 · Fax (415) 554-0107

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Alexandra Marie Rutherford Ms, Rn, Phn, Agpcnp 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 94121 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

DR. KAREN LYNN PARKO M.D.
Psychiatry & Neurology (Neurology)
4150 CLEMENT STREET, VAMC 127
SAN FRANCISCO, CA 94121
San Francisco County (415) 221-4810
MR. VICTOR CHIU YEE RCP
Respiratory Therapist, Certified
4150 CLEMENT STREET
SAN FRANCISCO, CA 94121
San Francisco County (415) 221-4810
JOEL ARTHUR SIMON MD
Internal Medicine
4150 CLEMENT STREET, GIMS 111A1 SAN FRANCISCO VA MEDICAL CENTER
SAN FRANCISCO, CA 94121
San Francisco County (415) 750-2093
DR. DAVID JACK SOFFA MD
Radiology (Diagnostic Radiology)
4150 CLEMENT STREET, VA MEDICAL CENTER
SAN FRANCISCO, CA 94121
San Francisco County (415) 221-4810
DR. ROBERT JEFFERY KOHLWES MD, MPH
Internal Medicine
4150 CLEMENT STREET, VETERANS AFFAIRS HOSPITAL
SAN FRANCISCO, CA 94121
San Francisco County (415) 221-4810
JACOB BURROUGHS
Student in an Organized Health Care Education/Training Program
4150 CLEMENT STREET, BLDG. 200 1ST FLOOR, ROOM 1D-007
SAN FRANCISCO, CA 94121
San Francisco County (415) 221-4810
MS. MICHELLE ANN TAPIA MSW
Social Worker
4150 CLEMENT STREET, BUILDING 208
SAN FRANCISCO, CA 94121
San Francisco County (415) 221-4810
GABRIELLE JACOBS N.P.
Nurse Practitioner (Psychiatric/Mental Health)
4150 CLEMENT STREET, SAN FRANCISCO VA MEDICAL CENTER
SAN FRANCISCO, CA 94121
San Francisco County (415) 519-0206

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 Rutherford's NPI number?

The NPI number for Alexandra Rutherford is 1285290726. It was assigned to this individual provider in the NPPES registry on May 9, 2019. The provider is also known as Alexandra Marie Edmondson.

Where is Alexandra Rutherford located?

Alexandra Rutherford practices at 4150 Clement Street, San Francisco, CA 94121. The listed phone number is (415) 221-4810.

What is Alexandra Rutherford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Alexandra Rutherford enrolled in Medicare?

Yes. Alexandra Rutherford is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexandra Rutherford was last updated on January 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.