ALEXA KISSELBACH
NPI 1538782818
Nurse Practitioner - Pediatrics in New York, NY
About Alexa Kisselbach NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXA KISSELBACH (NPI 1538782818) is an individual pediatrics provider in New York, New York, licensed in New York (383176) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alexa Kisselbach is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Alexa Kisselbach reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- Also billed through NPI 1326088675 (New York)
- 271 clinicians in this Medicare group
Newyork, NY 10029
- Reassigned Medicare billing, New York enrollment
- 233 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 10065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
NEW YORK, NY 10065
NEW YORK, NY 10065
NEW YORK, NY 10065
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 Alexa Kisselbach's NPI number?
The NPI number for Alexa Kisselbach is 1538782818. It was assigned to this individual provider in the NPPES registry on May 21, 2020.
Where is Alexa Kisselbach located?
Alexa Kisselbach practices at 525 E 68th St, New York, NY 10065. The listed phone number is (212) 746-2363.
What is Alexa Kisselbach's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Alexa Kisselbach enrolled in Medicare?
Yes. Alexa Kisselbach is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Alexa Kisselbach's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexa Kisselbach reassigns Medicare benefits to 2 organizations: Weill Medical College Of Cornell (New York, NY) and Icahn School Of Medicine At Mount Sinai (Newyork, NY). Each 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 Alexa Kisselbach'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 Alexa Kisselbach was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Alexa Kisselbach · NPI 1538782818
Pediatrics physician in New York, New York. Individual provider, active in the CMS NPPES registry since May 21, 2020.
## Identity
- **NPI:** 1538782818 (Entity type: Individual)
- **Enumerated:** May 21, 2020
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 383176 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 525 E 68TH ST, New York, NY 10065-4870
- **Phone:** (212) 746-2363
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Weill Medical College Of Cornell (NPI 1932143815, New York, NY); Icahn School Of Medicine At Mount Sinai (NPI 1558627844, Newyork, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 2, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1538782818) · Data from the CMS NPPES public registry.