Individual provider Active NPI

Alexandra W Kroeff, PA

  • Physician Assistant
  • Elizabeth City, NC
National Provider Identifier
1194964635
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-15912 Issued in NC
Practice address
3825 Conlon Way #100
Elizabeth City, NC 27909
Phone
(252) 331-5869
Fax
(252) 331-5906
NPI assigned
Feb 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 0010-15912 NC Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 0110011314 VA

Addresses

Primary practice location

3825 Conlon Way #100
Elizabeth City, NC 27909

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

620 Grassfield Pkwy Ste 100
Chesapeake, VA 23322-7671
Phone (757) 394-8696

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Alexandra.Kroeff@forefrontdermatology.emadirect.md
Direct Messaging Address Alexandra.Kroeff@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, VA, NC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240222000300 SC Practitioner - Physician Assistant 8224372636 Reassigns benefits to 1 organization
I20251209004424 VA Practitioner - Physician Assistant 8224372636 Reassigns benefits to 1 organization
I20260113002469 NC Practitioner - Physician Assistant 8224372636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

3825 Conlon Way
Suite 100
Elizabeth City, NC 27909-7661
Phone (252) 331-5869

620 Grassfield Pkwy
Suite 100
Chesapeake, VA 23322-7449
Phone (757) 394-8696

Merit-based Incentive Payment System (MIPS)

Final score
90.01 of 100Reported as group
Quality
100
Improvement activities
40
Cost
66.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
55567CAMDPharmacist
0010-15912NCMDPhysician Assistant
0110011314VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Multi-Specialty CurrentSince Oct 16, 2025 Accepting new patients
Forefront Dermatology, S.C. Multi-Specialty CurrentSince Nov 4, 2025 Accepting new patients
Forefront Dermatology, S.C. Multi-Specialty CurrentSince Oct 16, 2025 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

3825 Conlon Way
#100
Elizabeth City, NC 27909
Phone (252) 331-5869

2613 Hospital Rd
Goldsboro, NC 27534
Phone (919) 736-0222

620 Grassfield Pkwy
Ste 100
Chesapeake, VA 23322
Phone (757) 394-8696

5201 Hickory Park Dr
Ste A
Glen Allen, VA 23059
Phone (804) 262-6060

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: alexandra.kroeff@forefrontdermatology.emadirect.md
  • Direct secure messaging: akroeff@landmarkhealth-direct.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1194964635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 CONLON WAY #100",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "27909",
            "telephone_number": "252-331-5869",
            "fax_number": "252-331-5906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Grassfield Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233227671",
            "country_code": "US",
            "telephone_number": "757-394-8696",
            "fax_number": "757-793-2183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KROEFF",
        "first_name": "ALEXANDRA",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-06",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-15912",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110011314",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Alexandra.Kroeff@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "3825 CONLON WAY #100",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Alexandra.Kroeff@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "620 Grassfield Pkwy Ste 100",
            "city": "Chesapeake",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233227671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.