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DR. ALEXANDRA GRACE WILSON DO
NPI 1528563384
Surgery in Santa Cruz, CA

Active since March 26, 2018PECOS EnrolledAccepts Medicare Assignment
2911 CHANTICLEER AVE, SANTA CRUZ, CA 95065(831) 477-2350 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Alexandra Grace Wilson Do NPPES

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

DR. ALEXANDRA GRACE WILSON DO (NPI 1528563384) is an individual surgery provider in Santa Cruz, California, licensed in California (20A22508) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Rocky Vista University College Of Osteopathic Med (2018).

NPPES Registry Identity

NPI1528563384
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. ALEXANDRA GRACE WILSONCredential: DO
Location Address2911 CHANTICLEER AVESanta Cruz, CA 95065-1815
Mailing Address325 Distel CirLos Altos, CA 94022-1408
Phone(831) 477-2350
Sole ProprietorNo
Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2018
Enumeration DateMarch 26, 2018
Last NPPES UpdateOctober 16, 2024
NPPES CertifiedOctober 16, 2024
✔ NPI 1528563384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · 20A22508
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2911 CHANTICLEER AVE, Santa Cruz, CA 95065
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Other Names 1

Other Name (5)Dr. Lexi Grace Wilson Do

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

Dr. Alexandra Grace Wilson Do 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 ID3870849508
PECOS Enrollment IDI20241018003386
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 Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Bay Medical Foundation
18 mi
Ambulatory Surgical
2506 SAMARITAN CT
San Jose, CA 95124
NPI 1033817168 (408) 203-3941

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95065 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
$96.03 typical visit price
range $62.97 – $186.69
Typical copayment $24.00 (range $15.74 – $46.67)
Most-billed visit code 99203
Established Patient
$77.84 typical visit price
range $21.02 – $153.16
Typical copayment $19.46 (range $5.25 – $38.29)
Most-billed visit code 99213
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.

SUZANNE KERLEY
Plastic Surgery
2911 CHANTICLEER AVE
SANTA CRUZ, CA 95065
Santa Cruz County (831) 477-2350
DAMIEN L SMITH MD
Urology
2911 CHANTICLEER AVE
SANTA CRUZ, CA 95065
Santa Cruz County (831) 477-2350
JOSEPH FRANKS MD
Urology
2911 CHANTICLEER AVE
SANTA CRUZ, CA 95065
Santa Cruz County (831) 477-2350
DR. DAVID THEODORE GREENWALD M.D.
Urology
2911 CHANTICLEER AVE
SANTA CRUZ, CA 95065
Santa Cruz County (650) 380-1839
ALEX KASMAN
Urology
2911 CHANTICLEER AVE
SANTA CRUZ, CA 95065
Santa Cruz County (831) 477-2350
ELIZABETH NEWSOM MD
Urology
2911 CHANTICLEER AVE
SANTA CRUZ, CA 95065
Santa Cruz County (831) 477-2350
MARTHA FUCHS PA-C
Physician Assistant (Surgical)
2911 CHANTICLEER AVE
SANTA CRUZ, CA 95065
Santa Cruz County (831) 477-2350
JESSIE A FELIX PA-C
Physician Assistant
2911 CHANTICLEER AVE
SANTA CRUZ, CA 95065
Santa Cruz County (831) 477-2350

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 Wilson's NPI number?

The NPI number for Alexandra Wilson is 1528563384. It was assigned to this individual provider in the NPPES registry on March 26, 2018. The provider is also known as Dr. Lexi Grace Wilson Do.

Where is Alexandra Wilson located?

Alexandra Wilson practices at 2911 Chanticleer Ave, Santa Cruz, CA 95065. The listed phone number is (831) 477-2350.

What is Alexandra Wilson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Alexandra Wilson enrolled in Medicare?

Yes. Alexandra Wilson 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 Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Wilson reassigns Medicare benefits to Sutter Bay Medical Foundation (San Jose, CA). 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 Wilson'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 Wilson was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.