SHAWNTRIA ALEXANDER AGNP
NPI 1780575456
Nurse Practitioner - Primary Care in Bronx, NY

Q: What is Shawntria Alexander's NPI number?

The NPI number for Shawntria Alexander is 1780575456. It was assigned to this individual provider in the NPPES registry on July 11, 2025.

Q: What is Shawntria Alexander's specialty?

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

Active since July 11, 2025PECOS Enrolled

4770 WHITE PLAINS RD, BRONX, NY 10470(646) 289-5356 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 20, 2026, Jul 11, 2025 (2 updates tracked since 2025).

On this page

About Shawntria Alexander Agnp NPPES

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

SHAWNTRIA ALEXANDER AGNP (NPI 1780575456) is an individual primary care provider in Bronx, New York, licensed in Georgia (AG05250017) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1780575456

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameSHAWNTRIA ALEXANDERCredential: AGNP

Location Address4770 WHITE PLAINS RDBronx, NY 10470-1136

Mailing Address301 S Corder Rd Apt 216Warner Robins, GA 31088-5727 · (229) 591-5575

Phone(646) 289-5356

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 11, 2025

Last NPPES UpdateApril 20, 20262 updates tracked since enumeration

NPPES CertifiedApril 20, 2026

✔ NPI 1780575456 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 GA · AG05250017

4770 WHITE PLAINS RD, Bronx, NY 10470

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shawntria Alexander Agnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123595964

PECOS Enrollment IDI20260429001632

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 10470 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

Leave this field empty

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.

CECELIN E FIELDS

Nurse Practitioner (Family)