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

Active since June 24, 2020PECOS EnrolledAccepts Medicare Assignment
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: July 26, 2026.

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

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 and is a graduate of Other (2020).

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
Fax(727) 498-5470
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
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

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 Van Der Weyden Md 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 ID1557728185
PECOS Enrollment IDI20230613000853
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 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.

Internal Medicine
901 22ND AVE S
ST PETERSBURG, FL 33705
Internal Medicine
901 22ND AVE S
ST PETERSBURG, FL 33705
Internal Medicine
901 22ND AVE S
SAINT PETERSBURG, FL 33705
Pharmacist
901 22ND AVE S
ST PETERSBURG, FL 33705
Internal Medicine
901 22ND AVE S
ST PETERSBURG, FL 33705
Family Medicine
901 22ND AVE S
ST PETERSBURG, FL 33705
Internal Medicine (Interventional Cardiology)
901 22ND AVE S
SAINT PETERSBURG, FL 33705
Family Medicine
901 22ND AVE S
ST PETERSBURG, FL 33705

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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 with the weekly NPPES data releases published by CMS.