TINA MARIE D'ALESSANDRO PH.D., PMHNP-BC
NPI 1568501351
Nurse Practitioner - Psychiatric/Mental Health in Jacksonville, FL

Q: What is Tina D'alessandro's NPI number?

The NPI number for Tina D'alessandro is 1568501351. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Q: What is Tina D'alessandro's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Tina D'alessandro was last updated on March 7, 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.

Active since February 06, 2007PECOS EnrolledAccepts Medicare Assignment

3333 W 20TH ST, JACKSONVILLE, FL 32254(904) 695-9145 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2024, Aug 5, 2022, Jun 9, 2022 and 4 more (7 updates tracked since 2018).

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About Tina Marie D'alessandro Ph.d., Pmhnp-bc NPPES

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

TINA MARIE D'ALESSANDRO PH.D., PMHNP-BC (NPI 1568501351) is an individual psychiatric/mental health provider in Jacksonville, Florida, licensed in Florida (ARNP1893082) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1568501351

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameTINA MARIE D'ALESSANDROCredential: PH.D., PMHNP-BC

Location Address3333 W 20TH STJacksonville, FL 32254-1703

Mailing Address3333 W 20th StJacksonville, FL 32254-1703

Phone(904) 695-9145

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateFebruary 6, 2007

Last NPPES UpdateMarch 7, 20247 updates tracked since enumeration

NPPES CertifiedMarch 7, 2024

✔ NPI 1568501351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in FL · ARNP1893082

Also ListedNurse PractitionerTaxonomy 363L00000X · License ARNP1893082 (FL)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License ARNP1893082 (FL)

3333 W 20TH ST, Jacksonville, FL 32254

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Other Identifiers 2

Medicaid303944700FL

Medicaid667390480AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Oscar Health Maintenance Organization of Florida, Wellpoint.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

Tina Marie D'alessandro Ph.d., Pmhnp-bc 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 ID5597860825

PECOS Enrollment IDI20070417000545

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32254 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 20

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

MRS. ALICIA JUDITH COOPER BS

Social Worker