Individual provider Active NPI

Alexa Milagros Wu Chavez, MD

  • General Practice Physician
  • Jacksonville, FL
National Provider Identifier
1457334757
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN960 Issued in FL
Practice address
4160 University Blvd S
Jacksonville, FL 32216-4317
Phone
(904) 861-1900
Fax
(904) 292-9264
NPI assigned
Nov 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 16166 PR
General Practice Physician 208D00000X ACN960 FL Primary

Addresses

Primary practice location

4160 University Blvd S
Jacksonville, FL 32216-4317

Mailing address

PO Box 878
Davenport, FL 33836-0878
Phone (689) 223-3898

Other practice location 1

2255 Dunn Ave Ste 100
Jacksonville, FL 32218-4739
Phone (904) 861-1900

Other practice location 2

6545 Normandy Blvd
Jacksonville, FL 32205-6201
Phone (904) 861-1901

Other names 1

  • Dr. Alexa Milagros Wu-Chavez Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190507000085 FL Practitioner - General Practice 5991718033 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Island Doctors Intrastate LLCGroup PAC ID 5395161186, 74 clinicians
The Doctors Center IncGroup PAC ID 9133020787, 11 clinicians

Practice addresses (Care Compare)

199 S US Hwy 17 a
Island Doctors East Palatka
East Palatka, FL 32131-6071
Phone (386) 312-0250

4160 University Blvd S
Jacksonville, FL 32216-4317
Phone (904) 861-1900

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16166PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Doctors Center Inc CurrentSince Aug 9, 2024 Accepting new patients
The Doctors Center Inc PastSince Dec 1, 2024 Accepting new patients
Servicios de Salud Multidisciplinarios Para El Manejo de Ulceras, Inc. General Practice Past Accepting new patients
Rincon Medical Center Past Accepting new patients

Locations

2255 Dunn Ave
Ste 100
Jacksonville, FL 32218
Phone (904) 292-0322

6545 Normandy Blvd
Jacksonville, FL 32205
Phone (904) 861-1900

4160 University Blvd S
Jacksonville, FL 32216
Phone (904) 308-2058

Interoperability endpoints

  • Direct secure messaging: alexa.wu-chavez.1@25165.direct.athenahealth.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 4

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1457334757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 878",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338360878",
            "telephone_number": "689-223-3898",
            "fax_number": "689-223-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 UNIVERSITY BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164317",
            "telephone_number": "904-861-1900",
            "fax_number": "904-292-9264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2255 Dunn Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322184739",
            "country_code": "US",
            "telephone_number": "904-861-1900",
            "fax_number": "833-505-2764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6545 Normandy Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322056201",
            "country_code": "US",
            "telephone_number": "904-861-1901",
            "fax_number": "833-505-2766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU CHAVEZ",
        "first_name": "ALEXA",
        "middle_name": "MILAGROS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16166",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXA",
            "last_name": "WU-CHAVEZ",
            "middle_name": "MILAGROS",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.