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ALEXANDRIA MIA PORTILLA FNP
NPI 1861265548
Family Medicine in New York, NY

Active since November 03, 2023PECOS EnrolledAccepts Medicare Assignment
12 E 86TH ST, NEW YORK, NY 10028(212) 861-6660 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alexandria Mia Portilla Fnp NPPES

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

ALEXANDRIA MIA PORTILLA FNP (NPI 1861265548) is an individual family medicine provider in New York, New York, licensed in New York (F352697-01) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1861265548
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameALEXANDRIA MIA PORTILLACredential: FNP
Location Address12 E 86TH STNew York, NY 10028-0506
Mailing Address16509 Magolia CtSilver Spring, MD 20905 · (305) 479-3928
Phone(212) 861-6660
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 3, 2023
NPPES CertifiedNovember 2, 2023
✔ NPI 1861265548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · F352697-01
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12 E 86TH ST, New York, NY 10028
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexandria Mia Portilla Fnp 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 ID9335597889
PECOS Enrollment IDI20231122001558
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 10028 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 20

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

MRS. CONSTANCE COTTER WEISENSEEL MSW
Marriage & Family Therapist
12 E 86TH ST, # 1124
NEW YORK, NY 10028
New York County (212) 396-3597
EUGENE FINE M.D., IRWIN LEVENTHAL M.D.
Urology
12 E 86TH ST
NEW YORK, NY 10028
New York County (212) 517-9555
PREMIER PHYSICIANS OF NEW YORK PLLC
Urology
12 E 86TH ST
NEW YORK, NY 10028
New York County (212) 517-9555
DR. ILONA MIRECKI M.D.
Psychiatry & Neurology (Psychiatry)
12 E 86TH ST, SUITE1201
NEW YORK, NY 10028
New York County (917) 273-4411
DR. IRWIN LEVENTHAL MD
Urology
12 E 86TH ST
NEW YORK, NY 10028
New York County (212) 517-9555
DR. PAUL SCHIENBERG PH.D.
Psychologist
12 E 86TH ST, 929
NEW YORK, NY 10028
New York County (212) 879-5709
DR. EARLE A LOCKHART M.D
Pediatrics (Pediatric Nephrology)
12 E 86TH ST, #1031
NEW YORK, NY 10028
New York County (201) 401-4352
NORTH SHORE HEMATOLOGY/ONCOLOGY ASSOCIATES PC
Internal Medicine (Hematology & Oncology)
12 E 86TH ST, OFC 4
NEW YORK, NY 10028
New York County (212) 861-6660

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 Alexandria Portilla's NPI number?

The NPI number for Alexandria Portilla is 1861265548. It was assigned to this individual provider in the NPPES registry on November 3, 2023.

Where is Alexandria Portilla located?

Alexandria Portilla practices at 12 E 86th St, New York, NY 10028. The listed phone number is (212) 861-6660.

What is Alexandria Portilla's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Alexandria Portilla enrolled in Medicare?

Yes. Alexandria Portilla 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.

When was this NPI record last updated?

The NPPES record for Alexandria Portilla was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.