ALEXANDRA RAE PHELPS APRN
NPI 1477187169
Nurse Practitioner - Gerontology in Fort Myers, FL

Q: What is Alexandra Phelps's NPI number?

The NPI number for Alexandra Phelps is 1477187169. It was assigned to this individual provider in the NPPES registry on March 3, 2020.

Q: What is Alexandra Phelps's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Alexandra Phelps was last updated on April 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 03, 2020PECOS EnrolledAccepts Medicare Assignment

8380 RIVERWALK PARK BLVD STE 100, FORT MYERS, FL 33919(239) 343-9960(239) 343-9977 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 20, 2022, Mar 29, 2021, Oct 19, 2020 and 1 more (4 updates tracked since 2020).

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About Alexandra Rae Phelps Aprn NPPES

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

ALEXANDRA RAE PHELPS APRN (NPI 1477187169) is an individual gerontology provider in Fort Myers, Florida, licensed in Florida (APRN11006293) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1477187169

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameALEXANDRA RAE PHELPSCredential: APRN

Location Address8380 RIVERWALK PARK BLVD STE 100Fort Myers, FL 33919-8758

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-9960 · Fax (239) 343-9977

Phone(239) 343-9960

Fax(239) 343-9977

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 3, 2020

Last NPPES UpdateApril 20, 20224 updates tracked since enumeration

NPPES CertifiedApril 20, 2022

✔ NPI 1477187169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in FL · APRN11006293

Also ListedClinical Nurse Specialist · Medical-SurgicalTaxonomy 364SM0705X · License APRN11006293 (FL)

8380 RIVERWALK PARK BLVD STE 100, Fort Myers, FL 33919

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Other Identifiers 1

Medicaid105748600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

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 Rae Phelps Aprn 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 ID3173951530

PECOS Enrollment IDI20200317002666

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100012

Location2776 Cleveland AveFort Myers, FL 33901 · Lee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33919 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

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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. HOLLAND TAYLOR KORBITZ DO

Surgery