ALEXANDRIA ANN MEDIAVILLA AGACNP
NPI 1851163893
Nurse Practitioner - Family in Kansas City, KS

Q: What is Alexandria Mediavilla's NPI number?

The NPI number for Alexandria Mediavilla is 1851163893. It was assigned to this individual provider in the NPPES registry on October 24, 2023.

Q: What is Alexandria Mediavilla's specialty?

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

Active since October 24, 2023PECOS EnrolledAccepts Medicare Assignment

4000 CAMBRIDGE ST, KANSAS CITY, KS 66160(913) 588-1227 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Alexandria Ann Mediavilla Agacnp NPPES

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

ALEXANDRIA ANN MEDIAVILLA AGACNP (NPI 1851163893) is an individual family provider in Kansas City, Kansas, licensed in Kansas (53-82688) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1851163893

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameALEXANDRIA ANN MEDIAVILLACredential: AGACNP

Location Address4000 CAMBRIDGE STKansas City, KS 66160-8501

Mailing Address4000 Cambridge St Ste G600Kansas City, KS 66160-8501 · (913) 588-1227

Phone(913) 588-1227

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 24, 2023

Last NPPES UpdateNovember 29, 2023

NPPES CertifiedNovember 29, 2023

✔ NPI 1851163893 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 KS · 53-82688

Also ListedRegistered NurseTaxonomy 163W00000X · License 14-137804 (KS), 2016024460 (MO)

4000 CAMBRIDGE ST, Kansas City, KS 66160

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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

Alexandria Ann Mediavilla Agacnp 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 ID4486004215

PECOS Enrollment IDI20231220001094

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 Reassignments

Medicare enrollment records show Alexandria Mediavilla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kansas University Physicians Inc

Same address

Internal Medicine

4000 CAMBRIDGE ST
Kansas City, KS 66160

Reassigned Medicare billing, Kansas enrollment
2,139 clinicians in this Medicare group

NPI 1003858333 (913) 588-2527

Mid-America Cardiology Associates, Inc.

0.1 mi

Cardiovascular Disease

4000 CAMBRIDGE ST
Kansas City, KS 66160

Reassigned Medicare billing, Kansas enrollment
120 clinicians in this Medicare group

NPI 1467406306 (913) 588-1227

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

34 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number170040

Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66160 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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 20

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

KELSIE MARIE ZIMMERMAN

Physician Assistant (Surgical)