Individual provider Active NPI

Alexandra Jane Collins, FNP-C

  • Nurse Practitioner
  • Coralville, IA
National Provider Identifier
1841068855
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A177315 Issued in IA
Practice address
1100 6TH St Ste 202
Coralville, IA 52241-1757
Phone
(319) 337-4566
Fax
(319) 337-4766
NPI assigned
Dec 19, 2023
Last updated
Dec 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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 A177315 IA Primary

Addresses

Primary practice location

1100 6TH St Ste 202
Coralville, IA 52241-1757

Mailing address

1100 6TH St Ste 202
Coralville, IA 52241-1757
Phone (319) 337-4566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20240223003037 IA Practitioner - Nurse Practitioner 0840635363 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology of Iowa PLCGroup PAC ID 7618307034, 19 clinicians

Practice addresses (Care Compare)

501 12TH Ave
Suite 101
Coralville, IA 52241-1774
Phone (319) 337-3177

5264 Council St NE
Suite 700
Cedar Rapids, IA 52402-2477
Phone (319) 363-9936

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology of Iowa, PLC CurrentSince Jan 1, 2025 Accepting new patients
TS Dermatology, PLLC CurrentSince Feb 1, 2024 Accepting new patients
Kimberly K. Schulz Current Accepting new patients

Locations

5264 Council St NE
Ste 700
Cedar Rapids, IA 52402
Phone (319) 363-9936

1100 6th St
Ste 202
Coralville, IA 52241
Phone (319) 337-4566

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

Interoperability endpoints

  • Direct secure messaging: lexi.collins@epiphanyderm.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1841068855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 6TH ST STE 202",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411757",
            "telephone_number": "319-337-4566",
            "fax_number": "319-337-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 6TH ST STE 202",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411757",
            "telephone_number": "319-337-4566",
            "fax_number": "319-337-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "ALEXANDRA",
        "middle_name": "JANE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A177315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.