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

ALEXANDRA JOZEFA BALCOM NP
NPI 1376373811
Nurse Practitioner - Family in Tampa, FL

Active since August 07, 2024PECOS EnrolledAccepts Medicare Assignment
3010 W AZEELE ST STE 100, TAMPA, FL 33609(813) 251-0194(813) 254-0279 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2026, Aug 7, 2024 (2 updates tracked since 2024).

About Alexandra Jozefa Balcom Np NPPES

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

ALEXANDRA JOZEFA BALCOM NP (NPI 1376373811) is an individual family provider in Tampa, Florida, licensed in Florida (APRN11033888) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1376373811
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALEXANDRA JOZEFA BALCOMCredential: NP
Location Address3010 W AZEELE ST STE 100Tampa, FL 33609-3577
Mailing Address3010 W Azeele St Ste 100Tampa, FL 33609-3577 · (813) 251-0194 · Fax (813) 254-0279
Fax(813) 254-0279
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 7, 2024
Last NPPES UpdateOctober 13, 20262 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1376373811 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 · APRN11033888
3010 W AZEELE ST STE 100, Tampa, FL 33609

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexandra Jozefa Balcom Np 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 ID5698214997
PECOS Enrollment IDI20240830001209
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 Balcom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
1839 CENTRAL AVE
St Petersburg, FL 33713
  • Reassigned Medicare billing, Florida enrollment
  • 220 clinicians in this Medicare group

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 33609 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 4

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

Internal Medicine
3010 W AZEELE ST STE 100
TAMPA, FL 33609
Family Medicine
3010 W AZEELE ST STE 100
TAMPA, FL 33609
Nurse Practitioner (Family)
3010 W AZEELE ST STE 100
TAMPA, FL 33609
Internal Medicine
3010 W AZEELE ST STE 100
TAMPA, FL 33609

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 Balcom's NPI number?

The NPI number for Alexandra Balcom is 1376373811. It was assigned to this individual provider in the NPPES registry on August 7, 2024.

Where is Alexandra Balcom located?

Alexandra Balcom practices at 3010 W Azeele St Ste 100, Tampa, FL 33609. The listed phone number is (813) 251-0194.

What is Alexandra Balcom's specialty?

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

Is Alexandra Balcom enrolled in Medicare?

Yes. Alexandra Balcom 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.

Which organization bills Medicare for Alexandra Balcom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Balcom reassigns Medicare benefits to Professional Health Care Of Pinellas LLC (St Petersburg, 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 Balcom'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 Balcom was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.