ALEXANDRA VAN DER WEYDEN MD
NPI 1356967483
Family Medicine in St Petersburg, FL

Q: What is Alexandra Van Der Weyden's NPI number?

The NPI number for Alexandra Van Der Weyden is 1356967483. It was assigned to this individual provider in the NPPES registry on June 24, 2020.

Q: What is Alexandra Van Der Weyden's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 24, 2020PECOS Enrolled

901 22ND AVE S, ST PETERSBURG, FL 33705(727) 310-0925(727) 498-5470 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 7, 2023, Aug 14, 2020, Jun 24, 2020 (3 updates tracked since 2020).

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About Alexandra Van Der Weyden Md NPPES

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

ALEXANDRA VAN DER WEYDEN MD (NPI 1356967483) is an individual family medicine provider in St Petersburg, Florida, licensed in Florida (ME159850) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356967483

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameALEXANDRA VAN DER WEYDENCredential: MD

Location Address901 22ND AVE SSt Petersburg, FL 33705-2933

Mailing Address901 22nd Ave SSt Petersburg, FL 33705-2933 · (727) 310-0925 · Fax (727) 498-5470

Phone(727) 310-0925

Fax(727) 498-5470

Sole ProprietorNo

Enumeration DateJune 24, 2020

Last NPPES UpdateJune 7, 20233 updates tracked since enumeration

NPPES CertifiedJune 7, 2023

✔ NPI 1356967483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME159850

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

901 22ND AVE S, St Petersburg, FL 33705

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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 Van Der Weyden Md 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 Reassignment

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

Dedicated Senior Medical Center Of Florida, LLC

11 mi

Specialist

7050 ULMERTON RD
Largo, FL 33771

Reassigned Medicare billing, Florida enrollment
348 clinicians in this Medicare group

NPI 1659888741 (305) 628-6117

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 33705 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 20

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

DR. ADITI BHARDWAJ MD

Internal Medicine

901 22ND AVE S
ST PETERSBURG, FL 33705

Pinellas County (727) 310-0925

ORLANDO A. PINERO BRICENO MD

Internal Medicine

901 22ND AVE S
ST PETERSBURG, FL 33705

Pinellas County (727) 310-0925

MANISH B. BARIA M.D.

Internal Medicine

901 22ND AVE S
SAINT PETERSBURG, FL 33705

Pinellas County (727) 310-0925

TRUC VAN NGUYEN RPH

Pharmacist

901 22ND AVE S
ST PETERSBURG, FL 33705

Pinellas County (727) 896-4414

DR. FALLON LONGMIRE MD

Internal Medicine

901 22ND AVE S
ST PETERSBURG, FL 33705

Pinellas County (727) 310-0925

FALLON SMITH HAYES BANTON

Family Medicine

901 22ND AVE S
ST PETERSBURG, FL 33705

Pinellas County (727) 310-0925

VIBHUTI N. SINGH M.D.

Internal Medicine (Interventional Cardiology)

901 22ND AVE S
SAINT PETERSBURG, FL 33705

Pinellas County (727) 310-0925

DR. MO CALE D.O.

Family Medicine

901 22ND AVE S
ST PETERSBURG, FL 33705

Pinellas County (727) 310-0925

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 Van Der Weyden's NPI number?

The NPI number for Alexandra Van Der Weyden is 1356967483. It was assigned to this individual provider in the NPPES registry on June 24, 2020.

Where is Alexandra Van Der Weyden located?

Alexandra Van Der Weyden practices at 901 22nd Ave S, St Petersburg, FL 33705. The listed phone number is (727) 310-0925.

What is Alexandra Van Der Weyden's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Alexandra Van Der Weyden enrolled in Medicare?

Yes. Alexandra Van Der Weyden is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alexandra Van Der Weyden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Van Der Weyden reassigns Medicare benefits to Dedicated Senior Medical Center Of Florida, LLC (Largo, FL). 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 Van Der Weyden'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 Van Der Weyden was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.