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ANDREA ALICIA ALEXANDER WHNP
NPI 1578506994
Nurse Practitioner - Women's Health in Lexington, SC

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
99.32/100
CMS Quality Rating
5336 SUNSET BLVD STE A, LEXINGTON, SC 29072(803) 567-8900(803) 567-8909 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 25, 2023, Jul 15, 2021, Mar 21, 2018 and 1 more (4 updates tracked since 2016).

About Andrea Alicia Alexander Whnp NPPES

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

ANDREA ALICIA ALEXANDER WHNP (NPI 1578506994) is an individual women's health provider in Lexington, South Carolina, licensed in South Carolina (1446) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1578506994
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameANDREA ALICIA ALEXANDERCredential: WHNP
Location Address5336 SUNSET BLVD STE ALexington, SC 29072-9393
Mailing AddressPo Box 743904Atlanta, GA 30374-3904 · (803) 296-7320 · Fax (803) 296-7330
Phone(803) 567-8900
Fax(803) 567-8909
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJune 14, 2006
Last NPPES UpdateAugust 25, 20234 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
✔ NPI 1578506994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in SC · 1446
5336 SUNSET BLVD STE A, Lexington, SC 29072
Open in Google Maps ↗

Secondary Practice Location 1

Location 11301 Taylor St Ste 6JColumbia, SC 29201-2930 · Phone (803) 296-2942 · Fax (803) 779-9581

Other Identifiers 1

MedicaidNP0666SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.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

Andrea Alicia Alexander Whnp 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 ID244338291
PECOS Enrollment IDI20070614000421
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services14 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420018
Location5 Medical ParkColumbia, SC 29203 · Richland County
Emergency services Birthing friendly

Prisma Health Baptist

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420086
Location1330 Taylor At Marion StColumbia, SC 29220 · Richland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29072 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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.

99.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

HAILLEY OXNER STORY MD
Internal Medicine
5336 SUNSET BLVD STE A
LEXINGTON, SC 29072
Lexington County (803) 567-8900
CHLOE JOHNSON HARRIS
Physician Assistant
5336 SUNSET BLVD STE A
LEXINGTON, SC 29072
Lexington County (803) 567-8900
CHELSEA LENORA BUCHANAN
Physician Assistant
5336 SUNSET BLVD STE A
LEXINGTON, SC 29072
Lexington County (803) 567-8900
MRS. YOLANDA JOY MINES MD
Obstetrics & Gynecology
5336 SUNSET BLVD STE A
LEXINGTON, SC 29072
Lexington County (803) 567-8900
ALVIN DAY M.D.
Internal Medicine (Rheumatology)
5336 SUNSET BLVD STE A
LEXINGTON, SC 29072
Lexington County (803) 567-8900
DR. HELEN D LATHAM M.D.
Obstetrics & Gynecology
5336 SUNSET BLVD STE A
LEXINGTON, SC 29072
Lexington County (803) 567-8900
JOHN BENNETT MANNA NP-C
Nurse Practitioner (Family)
5336 SUNSET BLVD STE A
LEXINGTON, SC 29072
Lexington County (803) 567-8900
MICHAEL PATRICK FOX M.D.
Obstetrics & Gynecology
5336 SUNSET BLVD STE A
LEXINGTON, SC 29072
Lexington County (803) 567-8900

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 Andrea Alexander's NPI number?

The NPI number for Andrea Alexander is 1578506994. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Andrea Alexander located?

Andrea Alexander practices at 5336 Sunset Blvd Ste A, Lexington, SC 29072. The listed phone number is (803) 567-8900.

What is Andrea Alexander's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Andrea Alexander enrolled in Medicare?

Yes. Andrea Alexander 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.

What insurance does Andrea Alexander accept?

Health plans from BlueCross BlueShield of South Carolina list Andrea Alexander as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Andrea Alexander affiliated with any hospitals?

According to CMS data, Andrea Alexander is affiliated with Prisma Health Richland Hospital and Prisma Health Baptist.

When was this NPI record last updated?

The NPPES record for Andrea Alexander was last updated on August 25, 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.