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

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: October 25, 2026.

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

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 and is a graduate of Other (2022).

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
Medical School CMSOtherGraduated 2022
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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexa Tidwell Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991269078
PECOS Enrollment IDI20260709002640
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

2

Medicare enrollment records show Alexa Tidwell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Memorial Medical Consultation Group
Same address
Internal Medicine
1275 YORK AVE
New York, NY 10065
  • Reassigned Medicare billing, New York enrollment
  • 315 clinicians in this Medicare group
NPI 1053382523 (646) 227-3813
Memorial Neurology Group
Same address
Neurology
1275 YORK AVE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 191 clinicians in this Medicare group
NPI 1538130190 (646) 227-3813

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
1275 YORK AVE
NEW YORK, NY 10065
New York County (646) 422-4450
MS. NICOLE NOELLE REYNOLDS NP
Nurse Practitioner (Acute Care)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 682-7326
MRS. SHARLENE SEECHARRAN RN, NP
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 639-2203
CHRISTINA MADINABEITIA DURNEY
Nurse Practitioner (Pediatrics)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 639-5164
ALISON GAIL MASSEY ANP
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 639-2000
MICHAEL SCORDO
Internal Medicine (Hematology & Oncology)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 639-2000
AMPARO G CAMACHO NP
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
New York County (646) 422-4417
DR. INES NIKOLOVSKI MBBS
Special Hospital
1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTRE
NEW YORK, NY 10065
New York County (212) 639-2000

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 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.

Where is Alexa Tidwell located?

Alexa Tidwell practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 257-3034.

What is Alexa Tidwell's specialty?

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

Is Alexa Tidwell enrolled in Medicare?

Yes. Alexa Tidwell is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alexa Tidwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexa Tidwell reassigns Medicare benefits to 2 organizations: Memorial Medical Consultation Group (New York, NY) and Memorial Neurology Group (New York, 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 Alexa Tidwell'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 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 7 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.