Individual provider Active NPI

Alexandria Rose Xepolitos, FNP

  • Family Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1538808191
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
349290 Issued in NY
Practice address
1975 Hylan Blvd
Staten Island, NY 10306-3515
Phone
(646) 558-2424
NPI assigned
Jun 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 349290 NY Primary

Addresses

Primary practice location

1975 Hylan Blvd
Staten Island, NY 10306-3515

Mailing address

67 Dewey Ave
Staten Island, NY 10308-2101
Phone (570) 249-0564

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Alexandria.Xepolitos@wagner.edu Direct

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
I20221018001185 NY Practitioner - Nurse Practitioner 1557737442 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BP Immediate Medical Care, PCGroup PAC ID 8628295581, 25 clinicians

Practice addresses (Care Compare)

3808 14TH Ave
Brooklyn, NY 11218-3610
Phone (718) 972-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
349290NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Lij, Urgent Care, P.C. CurrentSince Nov 14, 2025 Accepting new patients
Rockland Medical Group, PLLC PastSince Apr 15, 2017 Accepting new patients
Pharma Holding Inc PastSince Jul 23, 2023 Accepting new patients

Locations

5828 99th St
Flushing, NY 11368
Phone (718) 502-9867

377 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 537-9061

1700 Hylan Blvd
Staten Island, NY 10305
Phone (516) 537-9062

2590 Hylan Blvd
Unit A
Staten Island, NY 10306
Phone (718) 502-9879

Interoperability endpoints

  • Direct secure messaging: alexandria.xepolitos@wagner.edu

Organizations & group practices 4

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": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1538808191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 DEWEY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082101",
            "telephone_number": "570-249-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063515",
            "telephone_number": "646-558-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XEPOLITOS",
        "first_name": "ALEXANDRIA",
        "middle_name": "ROSE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Alexandria.Xepolitos@wagner.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "67 Dewey Ave",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103082101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.