MRS. ALEXANDRA TRACY BURCH FNP-C
NPI 1730415423
Nurse Practitioner - Family in New York, NY

Active since October 30, 2009Opted out of Medicare · through Sep 16, 2026
126 5TH AVE FL 2, NEW YORK, NY 10011(646) 880-4465 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Alexandra Tracy Burch Fnp-c NPPES

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

MRS. ALEXANDRA TRACY BURCH FNP-C (NPI 1730415423) is an individual family provider in New York, New York, licensed in New York (F338951-1) and active in the NPI registry since October 2009. She has opted out of Medicare through September 16, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1730415423
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ALEXANDRA TRACY BURCHCredential: FNP-C
Location Address126 5TH AVE FL 2New York, NY 10011-5631
Mailing Address126 5th Ave Fl 2New York, NY 10011-5631 · (646) 880-4465
Sole ProprietorYes
Enumeration DateOctober 30, 2009
Last NPPES UpdateSeptember 16, 2024
NPPES CertifiedSeptember 16, 2024
NPI 1730415423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · F338951-1
Also ListedRegistered NurseTaxonomy 163W00000X · License 617096 (NY)
126 5TH AVE FL 2, New York, NY 10011

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Alexandra Tracy Burch Fnp-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 16, 2024 through September 16, 2026.

Opt-Out Effective DateSeptember 16, 2024
Opt-Out In Effect ThroughSeptember 16, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10011 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 16

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

Nurse Practitioner (Family)
126 5TH AVE FL 2
NEW YORK, NY 10011
General Practice
126 5TH AVE FL 2
NEW YORK, NY 10011
Preventive Medicine (Public Health & General Preventive Medicine)
126 5TH AVE FL 2
NEW YORK, NY 10011
Family Medicine
126 5TH AVE FL 2
NEW YORK, NY 10011
Family Medicine
126 5TH AVE FL 2
NEW YORK, NY 10011
Nurse Practitioner (Family)
126 5TH AVE FL 2
NEW YORK, NY 10011
Family Medicine
126 5TH AVE FL 2
NEW YORK, NY 10011
Family Medicine
126 5TH AVE FL 2
NEW YORK, NY 10011

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730415423, enumerated as an "individual" on October 30, 2009.

The provider is located at 126 5TH AVE FL 2 NEW YORK, NY 10011 and the phone number is (646) 880-4465.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.