Individual provider Active NPI

Alexandra Tewell, CRNP

  • Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1588264030
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R245755 Issued in MD
Practice address
419 W Redwood St Ste 500
Baltimore, MD 21201-7001
Phone
(667) 210-1300
NPI assigned
Oct 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R245755 MD Primary

Addresses

Primary practice location

419 W Redwood St Ste 500
Baltimore, MD 21201-7001

Mailing address

250 W Pratt St Ste 880
Baltimore, MD 21201-6829
Phone (667) 214-1302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20201117000394 MD Practitioner - Nurse Practitioner 0042621419 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

419 W Redwood St
Suite 500
Baltimore, MD 21201-7001
Phone (410) 328-6640

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R245755MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of MD Obstetrical and Gynecological Asso. PA CurrentSince Nov 9, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Obstetrical and Gynecological Assoc of the University of Maryland PA Past Accepting new patients

Locations

250 W Pratt St
Ste 880
Baltimore, MD 21201

419 W Redwood St
Ste 500
Baltimore, MD 21201
Phone (410) 328-6640

510 Upper Chesapeake Dr
Ste 502
Bel Air, MD 21014

5900 Waterloo Rd
Ste 250
Columbia, MD 21045
Phone (667) 214-2201

8601 Veterans Hwy
Millersville, MD 21108
Phone (410) 729-4450

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.

Hospital & facility affiliations 2

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": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1588264030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W PRATT ST STE 880",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212016829",
            "telephone_number": "667-214-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W REDWOOD ST STE 500",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212017001",
            "telephone_number": "667-210-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEWELL",
        "first_name": "ALEXANDRA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R245755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.