1. Home
  2. Directory
  3. New York
  4. Massena
  5. Nurse Practitioner
  6. NPI Profile

ALEXANDRA PESOLD FNP
NPI 1679204200
Nurse Practitioner - Family in Massena, NY

Active since June 23, 2022PECOS Enrolled
17 HOSPITAL DR, MASSENA, NY 13662(315) 769-4700 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alexandra Pesold Fnp NPPES

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

ALEXANDRA PESOLD FNP (NPI 1679204200) is an individual family provider in Massena, New York, licensed in New York (349646) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679204200
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALEXANDRA PESOLDCredential: FNP
Location Address17 HOSPITAL DRMassena, NY 13662-1093
Mailing Address25 Park StCanton, NY 13617-1265 · (315) 379-9158
Phone(315) 769-4700
Sole ProprietorNo
Enumeration DateJune 23, 2022
Last NPPES UpdateFebruary 28, 2024
NPPES CertifiedFebruary 28, 2024
✔ NPI 1679204200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 349646
17 HOSPITAL DR, Massena, NY 13662
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra Pesold Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Alexandra Pesold reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Massena Hospital Inc
0.1 mi
Critical Access
1 HOSPITAL DR
Massena, NY 13662
  • Reassigned Medicare billing, New York enrollment
  • 176 clinicians in this Medicare group
NPI 1972604460 (315) 769-4200
Canton-Potsdam Hospital
18 mi
General Acute Care Hospital
50 LEROY STREET
Potsdam, NY 13676
  • Reassigned Medicare billing, New York enrollment
  • 414 clinicians in this Medicare group
NPI 1568548782 (315) 265-3300
Healey Medical Practice, PLLC
27 mi
Family Medicine
25 PARK ST
Canton, NY 13617
  • Reassigned Medicare billing, New York enrollment
  • 6 clinicians in this Medicare group
NPI 1457568792 (315) 379-9158

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 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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services21 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
16 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13662 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 4

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

CASSANDRA MARIE CASEY I CASAC-II
Counselor (Addiction (Substance Use Disorder))
17 HOSPITAL DR
MASSENA, NY 13662
St. Lawrence County (315) 705-6564
JACOB A GOYCO
Counselor (Addiction (Substance Use Disorder))
17 HOSPITAL DR
MASSENA, NY 13662
St. Lawrence County (315) 705-6564
SCOTT SANDERS LMSW
Social Worker
17 HOSPITAL DR
MASSENA, NY 13662
St. Lawrence County (315) 705-6564
NOR HASIAH RAMLI MD
Pediatrics
17 HOSPITAL DR
MASSENA, NY 13662
St. Lawrence County (315) 769-4700

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 Pesold's NPI number?

The NPI number for Alexandra Pesold is 1679204200. It was assigned to this individual provider in the NPPES registry on June 23, 2022.

Where is Alexandra Pesold located?

Alexandra Pesold practices at 17 Hospital Dr, Massena, NY 13662. The listed phone number is (315) 769-4700.

What is Alexandra Pesold's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alexandra Pesold enrolled in Medicare?

Yes. Alexandra Pesold is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alexandra Pesold's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Pesold reassigns Medicare benefits to 3 organizations: Massena Hospital Inc (Massena, NY), Canton-Potsdam Hospital (Potsdam, NY) and Healey Medical Practice, PLLC (Canton, 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 Alexandra Pesold'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 Alexandra Pesold was last updated on February 28, 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.