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ALEXANDRA PEACH
NPI 1336984046
Nurse Practitioner - Family in Bartow, FL

Active since June 26, 2024PECOS Enrolled
1528 BARNHORST RD, BARTOW, FL 33830(863) 409-0685 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alexandra Peach NPPES

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

ALEXANDRA PEACH (NPI 1336984046) is an individual family provider in Bartow, Florida, licensed in Florida (APRN11033660) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336984046
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALEXANDRA PEACH
Location Address1528 BARNHORST RDBartow, FL 33830-9437
Mailing Address1528 Barnhorst RdBartow, FL 33830-9437 · (863) 409-0685
Phone(863) 409-0685
Sole ProprietorYes
Enumeration DateJune 26, 2024
NPPES CertifiedJune 26, 2024
✔ NPI 1336984046 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 · APRN11033660
1528 BARNHORST RD, Bartow, FL 33830
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra Peach 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Alexandra Peach reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wound Technology Network Inc
44 mi
Infectious Disease
5979 VINELAND RD STE 109
Orlando, FL 32819
  • Reassigned Medicare billing, Florida enrollment
  • 208 clinicians in this Medicare group
NPI 1962601393 (954) 923-7440
Wt Health Of Florida LLC
44 mi
Infectious Disease
5979 VINELAND RD STE 109
Orlando, FL 32819
  • Reassigned Medicare billing, Florida enrollment
  • 110 clinicians in this Medicare group
NPI 1982434106 (954) 923-7440

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33830 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.

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 Peach's NPI number?

The NPI number for Alexandra Peach is 1336984046. It was assigned to this individual provider in the NPPES registry on June 26, 2024.

Where is Alexandra Peach located?

Alexandra Peach practices at 1528 Barnhorst Rd, Bartow, FL 33830. The listed phone number is (863) 409-0685.

What is Alexandra Peach's specialty?

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

Is Alexandra Peach enrolled in Medicare?

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

Which organizations bill Medicare for Alexandra Peach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Peach reassigns Medicare benefits to 2 organizations: Wound Technology Network Inc (Orlando, FL) and Wt Health Of Florida LLC (Orlando, FL). Each 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 Peach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alexandra Peach was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.