ALEXANDRA DERR (DO) – Emergency Medicine Physician, NPI 1235766767

ALEXANDRA DERR (DO) is a healthcare provider. based in Jacksonville, Florida. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. OS19503 (FL). The NPI Number for ALEXANDRA DERR (DO) is 1235766767

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDRA DERR (DO)
NPI
1235766767
Phone
Not provided
Address
841 PRUDENTIAL DR #1400
Enumeration Date
25 March 2020
Last Update Date
7 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7866624000
Graduation Year
2020 (6 years ago)
PAC ID
3678931268
Group Practice PAC ID
5092629808
Professional Enrollment ID
I20230613003612
Address ID
FL331434679MI6200XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

3,258 EMERGENCY MEDICINE in FL

Provider Addresses for ALEXANDRA DERR (DO)

  • 841 PRUDENTIAL DR #1400

    JACKSONVILLE, FL 32207

    Phone:

    Type: Mailing

  • 655 W 8TH ST

    JACKSONVILLE, FL 322096511

    Phone: (904) 244-3817

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-06-13

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230613003612IEmergency MedicineFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making8888$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only6756$0
99291Critical care, first 30-74 minutes1414$0
99284Emergency department visit with moderate level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 32207)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092629808View full group profile
NameSpecialtyState
-FL
Family PracticeFL
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineFL
Emergency Medicine, Family PracticeFL
Emergency MedicineFL
Nurse PractitionerFL
Emergency MedicineFL

Reviews

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Frequently asked questions

Is ALEXANDRA DERR (DO) listed with a National Provider Identifier?
Yes — ALEXANDRA DERR (DO) has NPI 1235766767 on file in the registry.
Would ALEXANDRA DERR (DO) appear as active to a payer?
You can treat ALEXANDRA DERR (DO) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is ALEXANDRA DERR (DO)?
ALEXANDRA DERR (DO) is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is ALEXANDRA DERR (DO) located near Jacksonville?
ALEXANDRA DERR (DO) currently maps to Jacksonville, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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