Active NPI
Alexandra Renninger
- Psychiatry Physician
- Melbourne, FL
National Provider Identifier
1477405959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ANRP11045399
- Practice address
- 3643 Bluefield Ave
Melbourne, FL 32934-8386 - Phone
- (321) 693-1309
- NPI assigned
- Feb 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ANRP11045399 | FL | Primary |
Addresses
Primary practice location
3643 Bluefield Ave
Melbourne, FL 32934-8386
Mailing address
3643 Bluefield Ave
Melbourne, FL 32934-8386
Phone (321) 693-1309
Other names 1
- Alexandra Williams
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10301 Hagen Ranch Rd
Suite D720
Boynton Beach, FL 33437-3777
Phone (561) 402-3971
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ANRP11045399 | FL | MD | Psychiatry Physician |
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Palm Beach Gardens, FL
- NPI 1508438284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1477405959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3643 BLUEFIELD AVE",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329348386",
"telephone_number": "321-693-1309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3643 BLUEFIELD AVE",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329348386",
"telephone_number": "321-693-1309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENNINGER",
"first_name": "ALEXANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-09",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ANRP11045399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXANDRA",
"last_name": "WILLIAMS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.