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

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 August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

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: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2026, Aug 3, 2026, Jul 31, 2026 and 4 more (7 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 North Carolina (5024359) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and maintains a secondary practice location in Hendersonville.

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 1869Fletcher, NC 28732-1869 · (828) 654-0073 · Fax (828) 681-5036

Phone(239) 343-9960

Fax(239) 343-9977

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 3, 2020

Last NPPES UpdateAugust 12, 20267 updates tracked since enumeration

NPPES CertifiedAugust 12, 2026

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

Specialties & Licenses 3

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

Taxonomy Code363LG0600X

Licenses✔ Licensed in NC · 5024359✔ Licensed in FL · APRN11006293

Also ListedNurse PractitionerTaxonomy 363L00000X · License 5024359 (NC)

Also ListedClinical Nurse Specialist · Medical-SurgicalTaxonomy 364SM0705X · License APRN11006293 (FL), 5024359 (NC)

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

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Secondary Practice Location 1

Location 1One Health Park Dr, Suite 310Hendersonville, NC 28792 · Phone (828) 654-0073 · Fax (828) 681-5036

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.

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