ALEXA TIDWELL FNP-BC
NPI 1699545541
Nurse Practitioner - Primary Care in New York, NY

Q: What is Alexa Tidwell's NPI number?

The NPI number for Alexa Tidwell is 1699545541. It was assigned to this individual provider in the NPPES registry on January 2, 2024. The provider is also known as Alexa Grigely Fnp-Bc.

Q: What is Alexa Tidwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Alexa Tidwell was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 January 02, 2024PECOS Enrolled

1275 YORK AVE, NEW YORK, NY 10065(212) 257-3034 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 19, 2026, Jan 2, 2024 (2 updates tracked since 2024).

On this page

About Alexa Tidwell Fnp-bc NPPES

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

ALEXA TIDWELL FNP-BC (NPI 1699545541) is an individual primary care provider in New York, New York, licensed in New York (353855) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699545541

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameALEXA TIDWELLCredential: FNP-BC

Location Address1275 YORK AVENew York, NY 10065-6007

Mailing Address133 Sterling Pl Apt 1dBrooklyn, NY 11217-3381 · (860) 670-7525

Phone(212) 257-3034

Sole ProprietorNo

Enumeration DateJanuary 2, 2024

Last NPPES UpdateMarch 19, 20262 updates tracked since enumeration

NPPES CertifiedMarch 19, 2026

✔ NPI 1699545541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in NY · 353855

1275 YORK AVE, New York, NY 10065

Open in Google Maps ↗

Other Names 1

Former Name (1)Alexa Grigely Fnp-bc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexa Tidwell Fnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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. ZANA CORREA NP

Nurse Practitioner (Adult Health)