ALEXANDRA NICKERSON PA-C
NPI 1982401618
Physician Assistant in Long Island City, NY

Q: What is Alexandra Nickerson's NPI number?

The NPI number for Alexandra Nickerson is 1982401618. It was assigned to this individual provider in the NPPES registry on February 28, 2025.

Q: What is Alexandra Nickerson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since February 28, 2025PECOS EnrolledAccepts Medicare Assignment

1041 47TH AVE, LONG ISLAND CITY, NY 11101(212) 385-3700 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 19, 2025, Feb 28, 2025 (2 updates tracked since 2025).

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About Alexandra Nickerson Pa-c NPPES

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

ALEXANDRA NICKERSON PA-C (NPI 1982401618) is an individual physician assistant in Long Island City, New York and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1982401618

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameALEXANDRA NICKERSONCredential: PA-C

Location Address1041 47TH AVELong Island City, NY 11101-5416

Mailing Address1027 46th Ave Fl 3Long Island City, NY 11101-5245 · (212) 385-3700

Phone(212) 385-3700

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateFebruary 28, 2025

Last NPPES UpdateNovember 19, 20252 updates tracked since enumeration

NPPES CertifiedNovember 19, 2025

✔ NPI 1982401618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1041 47TH AVE, Long Island City, NY 11101

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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

Alexandra Nickerson Pa-c 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 ID2769967355

PECOS Enrollment IDI20260401000765

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 11101 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

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$82.96 typical visit price

range $21.62 – $163.52

Typical copayment $20.74 (range $5.40 – $40.88)

Most-billed visit code 99213

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 5

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

KELLI ROTH

Nurse Practitioner (Family)