ALEXANDRIA WEST DIEGO (APRN) – Nurse Practitioner, NPI 1043687619
Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ALEXANDRIA WEST DIEGO (APRN)
2900 CORPORATE WAY
DOOR D
MIRAMAR, FL 33025
Phone: (954) 276-5663
Fax: (954) 276-0301
Type: Mailing
1150 N 35TH AVE STE 330
HOLLYWOOD, FL 330215488
Phone: (954) 265-4325
Fax: (954) 981-3872
Type: Location
1228 S PINE ISLAND RD STE 410
PLANTATION, FL 333244583
Phone: (954) 837-1490
Fax: (954) 837-1188
Type: Location
PO BOX 743144
ATLANTA, GA 303743144
Phone: (954) 837-1490
Fax: (954) 837-1188
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $415.
Total Amount is formed as General ($415) + Research ($0) + Ownership ($0) = $415.
Last reported payment date: 2024-07-09 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($131).
Total Amount
$415
General + Research + Ownership
Payments
4
Total payment records
General Amount
$415
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $131 |
| BeiGene USA, Inc. | $125 |
| Tactile Systems Technology Inc | $104 |
| Myriad Genetic Laboratories, Inc. | $54 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-12-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161201000281 | I | Nurse Practitioner | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 13 | 11 | $0 |
Insurance plans in this area (ZIP 33025)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL | |
| - | FL | |
| - | FL | |
| Thoracic Surgery, Cardiac Surgery | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| - | FL | |
| Cardiovascular Disease (Cardiology) | FL |
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