MISS ALEXANDRA MARIE TKACZYK CRNP
NPI 1629667241
Nurse Practitioner - Acute Care in Philadelphia, PA

Active since January 18, 2021PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3400 SPRUCE ST FL 3, PHILADELPHIA, PA 19104(215) 662-4000 Get Directions Write a Review

NPPES record last updated: January 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1629667241
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMISS ALEXANDRA MARIE TKACZYKCredential: CRNP
Location Address3400 SPRUCE ST FL 3Philadelphia, PA 19104-4229
Mailing Address3400 Spruce StPhiladelphia, PA 19104-4238 · (215) 662-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 18, 2021
NPPES CertifiedJanuary 18, 2021
NPI 1629667241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in PA · SP023036
3400 SPRUCE ST FL 3, Philadelphia, PA 19104

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

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.

PECOS PAC ID1759796410
PECOS Enrollment IDI20210211000612
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

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 discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
11 services11 patients

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, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Physician 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.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Hematology & Oncology)
3400 SPRUCE ST FL 3
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Neurology)
3400 SPRUCE ST FL 3
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Neurology)
3400 SPRUCE ST FL 3
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.

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.