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ALEXANDRITE LA NP
NPI 1831912187
Nurse Practitioner - Family in San Jose, CA

Active since November 05, 2024PECOS EnrolledAccepts Medicare Assignment
3318 MOUNT WILSON DR, SAN JOSE, CA 95127(408) 781-8955 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alexandrite La Np NPPES

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

ALEXANDRITE LA NP (NPI 1831912187) is an individual family provider in San Jose, California, licensed in California (95032716) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1831912187
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALEXANDRITE LACredential: NP
Location Address3318 MOUNT WILSON DRSan Jose, CA 95127-4848
Mailing Address3318 Mount Wilson DrSan Jose, CA 95127-4848 · (408) 781-8955
Phone(408) 781-8955
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 5, 2024
NPPES CertifiedOctober 20, 2024
✔ NPI 1831912187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95032716
3318 MOUNT WILSON DR, San Jose, CA 95127
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexandrite La Np 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 ID2769905405
PECOS Enrollment IDI20250403000001
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 Reassignment

Medicare enrollment records show Alexandrite La reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bay Area Community Health
15 mi
Federally Qualified Health Center (FQHC)
40910 FREMONT BLVD
Fremont, CA 94538
  • Reassigned Medicare billing, California enrollment
  • 127 clinicians in this Medicare group
NPI 1780054379 (510) 770-8133

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 95127 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

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 Alexandrite La's NPI number?

The NPI number for Alexandrite La is 1831912187. It was assigned to this individual provider in the NPPES registry on November 5, 2024.

Where is Alexandrite La located?

Alexandrite La practices at 3318 Mount Wilson Dr, San Jose, CA 95127. The listed phone number is (408) 781-8955.

What is Alexandrite La's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alexandrite La enrolled in Medicare?

Yes. Alexandrite La 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.

Which organization bills Medicare for Alexandrite La's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandrite La reassigns Medicare benefits to Bay Area Community Health (Fremont, CA). 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 Alexandrite La'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 Alexandrite La was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.