SHAWNTRIA ALEXANDER AGNP
NPI 1780575456
Nurse Practitioner - Primary Care in Bronx, NY
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shawntria Alexander Agnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shawntria Alexander reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30326
- Reassigned Medicare billing, Georgia enrollment
- 131 clinicians in this Medicare group
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 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.
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.
BRONX, NY 10470
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 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.
Where is Shawntria Alexander located?
Shawntria Alexander practices at 4770 White Plains Rd, Bronx, NY 10470. The listed phone number is (646) 289-5356.
What is Shawntria Alexander's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Shawntria Alexander enrolled in Medicare?
Yes. Shawntria Alexander is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shawntria Alexander's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shawntria Alexander reassigns Medicare benefits to Georgia Mso LLC (Atlanta, GA). The 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 Shawntria Alexander'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 Shawntria Alexander was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Shawntria Alexander, AGNP · NPI 1780575456
Primary Care physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since July 11, 2025.
## Identity
- **NPI:** 1780575456 (Entity type: Individual)
- **Enumerated:** July 11, 2025
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** AG05250017 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4770 WHITE PLAINS RD, Bronx, NY 10470-1136
- **Phone:** (646) 289-5356
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Georgia Mso LLC (NPI 1952196164, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** April 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1780575456) · Data from the CMS NPPES public registry.