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MS. ALEXANDRA DEROSA PA-C
NPI 1710726948
Physician Assistant in Boston, MA

Active since May 20, 2024PECOS EnrolledAccepts Medicare Assignment
441 STUART ST STE 404, BOSTON, MA 02116(857) 317-2057(857) 317-2811 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 26, 2026, Dec 11, 2025, Jan 8, 2025 and 1 more (4 updates tracked since 2024).

About Ms. Alexandra Derosa Pa-c NPPES

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

MS. ALEXANDRA DEROSA PA-C (NPI 1710726948) is an individual physician assistant in Boston, Massachusetts, licensed in Massachusetts (PA102136) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2024).

NPPES Registry Identity

NPI1710726948
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. ALEXANDRA DEROSACredential: PA-C
Location Address441 STUART ST STE 404Boston, MA 02116-5019
Mailing Address441 Stuart St Ste 404Boston, MA 02116-5019 · (857) 317-2057 · Fax (857) 317-2811
Phone(857) 317-2057
Fax(857) 317-2811
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2024
Enumeration DateMay 20, 2024
Last NPPES UpdateMarch 26, 20264 updates tracked since enumeration
NPPES CertifiedMarch 26, 2026
✔ NPI 1710726948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MA · PA102136
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
441 STUART ST STE 404, Boston, MA 02116
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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

Ms. Alexandra Derosa Pa-c 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 ID1759810716
PECOS Enrollment IDI20251223003431
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 02116 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
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 3

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

MR. ASHTON PAUL FRULLA NP-C
Nurse Practitioner (Adult Health)
441 STUART ST STE 404
BOSTON, MA 02116
Suffolk County (857) 317-2057
DR. SHIRI NAWROCKI MD
Dermatology
441 STUART ST STE 404
BOSTON, MA 02116
Suffolk County (857) 317-2057
NARI LEE MD
Dermatology
441 STUART ST STE 404
BOSTON, MA 02116
Suffolk County (857) 317-2057

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 Derosa's NPI number?

The NPI number for Alexandra Derosa is 1710726948. It was assigned to this individual provider in the NPPES registry on May 20, 2024.

Where is Alexandra Derosa located?

Alexandra Derosa practices at 441 Stuart St Ste 404, Boston, MA 02116. The listed phone number is (857) 317-2057.

What is Alexandra Derosa's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alexandra Derosa enrolled in Medicare?

Yes. Alexandra Derosa 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.

When was this NPI record last updated?

The NPPES record for Alexandra Derosa was last updated on March 26, 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.