MISS ALEXANDRA MARIE TKACZYK CRNP
NPI 1629667241
Nurse Practitioner - Acute Care in Philadelphia, PA
About Miss Alexandra Marie Tkaczyk Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS ALEXANDRA MARIE TKACZYK CRNP (NPI 1629667241) is an individual acute care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP023036) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Miss Alexandra Marie Tkaczyk Crnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Alexandra Tkaczyk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 373 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hospital Of Univ Of Pennsylvania
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Tkaczyk's NPI number?
The NPI number for Alexandra Tkaczyk is 1629667241. It was assigned to this individual provider in the NPPES registry on January 18, 2021.
Where is Alexandra Tkaczyk located?
Alexandra Tkaczyk practices at 3400 Spruce St Fl 3, Philadelphia, PA 19104. The listed phone number is (215) 662-4000.
What is Alexandra Tkaczyk's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Alexandra Tkaczyk enrolled in Medicare?
Yes. Alexandra Tkaczyk 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 Tkaczyk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Tkaczyk reassigns Medicare benefits to University Of Penn-Medical Group (Philadelphia, PA). 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 Tkaczyk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Alexandra Tkaczyk affiliated with any hospitals?
According to CMS data, Alexandra Tkaczyk is affiliated with Hospital Of Univ Of Pennsylvania.
When was this NPI record last updated?
The NPPES record for Alexandra Tkaczyk was last updated on January 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Miss Alexandra Marie Tkaczyk, CRNP · NPI 1629667241
Acute Care physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since January 18, 2021.
## Identity
- **NPI:** 1629667241 (Entity type: Individual)
- **Enumerated:** January 18, 2021
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** SP023036 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 SPRUCE ST FL 3, Philadelphia, PA 19104-4229
- **Phone:** (215) 662-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Penn-Medical Group (NPI 1679677975, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** January 18, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1629667241) · Data from the CMS NPPES public registry.