Individual provider Active NPI

Alexandra Beth Wiede, PA

  • Physician Assistant
  • Williamsville, NY
National Provider Identifier
1427630169
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
026587 Issued in NY
Practice address
193 S Union Rd
Williamsville, NY 14221-6531
Phone
(609) 585-1122
Fax
(609) 585-0309
NPI assigned
Apr 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 026587 NY Primary

Addresses

Primary practice location

193 S Union Rd
Williamsville, NY 14221-6531

Mailing address

PO Box 7411009
Chicago, IL 60674-3009
Phone (609) 585-1122

Other practice location 1

2799 Sheridan Dr
Tonawanda, NY 14150-9463
Phone (609) 585-1122

Other practice location 2

1540 Maple Rd
Williamsville, NY 14221-3647
Phone (716) 568-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210510001042 NY Practitioner - Physician Assistant 5890104558 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Physician PCGroup PAC ID 9537213079, 488 clinicians
First Docs PCGroup PAC ID 0547626871, 181 clinicians
Buffalo Breathe Now Medical PCGroup PAC ID 7911431309, 7 clinicians

Practice addresses (Care Compare)

100 High St
Buffalo, NY 14203-1126
Phone (716) 884-3000

1540 Maple Rd
Williamsville, NY 14221-3647
Phone (716) 568-3600

193 S Union Rd
Williamsville, NY 14221-6531
Phone (609) 585-1122

3898 Vineyard Dr
Dunkirk, NY 14048-3559
Phone (716) 710-8266

6161 Transit Rd
Suite 4
East Amherst, NY 14051-2606
Phone (716) 320-0180

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
026587NYMDOccupational Therapist

Interoperability endpoints

  • Direct secure messaging: alwied@buffalobreathenow.medentdirect.com

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1427630169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7411009",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606743009",
            "telephone_number": "609-585-1122",
            "fax_number": "609-585-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 S UNION RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216531",
            "telephone_number": "609-585-1122",
            "fax_number": "609-585-0309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2799 Sheridan Dr",
            "address_purpose": "LOCATION",
            "city": "Tonawanda",
            "state": "NY",
            "postal_code": "141509463",
            "country_code": "US",
            "telephone_number": "609-585-1122",
            "fax_number": "609-585-0309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1540 Maple Rd",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142213647",
            "country_code": "US",
            "telephone_number": "716-568-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIEDE",
        "first_name": "ALEXANDRA",
        "middle_name": "BETH",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "026587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.