Alexandra Nelson , FNP
Nurse Practitioner โข Seattle, WA
1221 Madison St, Ste 1020
Seattle, WA 981041380
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Alexandra Nelson is listed in NPPES under Nurse Practitioner.
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NPI assigned on September 12, 2019; this date does not establish years in practice.
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Published CMS data list 33 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99232 โ Subsequent hospital care with moderate levelof medical decision making: 33 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Fewer Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Seattle, WA (2024, 234 clinicians with data). Median for this group: 145. Middle half: 57 to 300.
Fewer Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Washington (2024, 893 clinicians with data). Median for this group: 234. Middle half: 84 to 502.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 68 in 2020 to 33 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
1221 Madison St
Ste 1020
Seattle, WA 981041380
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Swedish Health Services. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2019
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
25 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $2,333 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $1,861 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Open Payments general payments, program year 2025
All general payments: $259.77 across 2 records.
By nature of payment
- Food and Beverage: $259.77 across 2 records.
Reporting-company totals
- Caris MPI, Inc.: $136.53 across 1 record.
- Pharmacosmos Therapeutics Inc.: $123.24 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
7 years (graduated 2019)
CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2019
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Alexandra Nelson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Alexandra Nelson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Seattle and Washington
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Seattle, WA (2024, 234 clinicians with data). Median for this group: 145. Middle half: 57 to 300.
Fewer Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Washington (2024, 893 clinicians with data). Median for this group: 234. Middle half: 84 to 502.
Medicare-allowed amount
A lower Medicare-allowed amount than 85% of clinicians listed under Nurse Practitioner in Seattle, WA (2024, 234 clinicians with data). Median for this group: $12,058. Middle half: $5,364 to $23,972.
A lower Medicare-allowed amount than 85% of clinicians listed under Nurse Practitioner in Washington (2024, 893 clinicians with data). Median for this group: $18,362. Middle half: $7,179 to $35,594.
Paid by Medicare
A lower Medicare payment amount than 85% of clinicians listed under Nurse Practitioner in Seattle, WA (2024, 234 clinicians with data). Median for this group: $8,989. Middle half: $3,794 to $18,229.
A lower Medicare payment amount than 85% of clinicians listed under Nurse Practitioner in Washington (2024, 893 clinicians with data). Median for this group: $13,803. Middle half: $5,221 to $25,979.
569 active clinicians are listed under Nurse Practitioner with a practice address in Seattle, WA (2,310 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Seattle
28.8% of these 569 clinicians have the CMS telehealth indicator.
58.7% of these 569 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 51% from 68 in 2020 to 33 in 2024.
- 2020: 68
- 2023: 60
- 2024: 33
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Medicare-allowed amount
Medicare-allowed amount decreased 52% from $4,838 in 2020 to $2,333 in 2024.
- 2020: $4,838
- 2023: $6,277
- 2024: $2,333
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Paid by Medicare
Paid by Medicare decreased 50% from $3,760 in 2020 to $1,861 in 2024.
- 2020: $3,760
- 2023: $4,915
- 2024: $1,861
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $433.18 in 2021 to $259.77 in 2025.
- 2021: $433.18
- 2022: $181.20
- 2023: $124.17
- 2024: $213.44
- 2025: $259.77
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $259.77.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Caris MPI, Inc. |
Food and Beverage
In-kind items and services
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MI CANCER SEEK | General | $136.53 |
| Pharmacosmos Therapeutics Inc. |
Food and Beverage
In-kind items and services
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MONOFERRIC | General | $123.24 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2020โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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33 | 11 | $205.00 | $70.71 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-11-16NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 363LF0000X
NUCC Taxonomy Code: 363LF0000X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20220516001141
VA
9032543285
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Swedish Health Services
1221 Madison St, Seattle, WA 981041380
Phone: 2062152658
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine - Hospice and Palliative Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner
Advanced Registered Nurse Practitioner
Physician Assistant
Physician Assistant (Certified)
Internal Medicine - Hematology & Oncology
Doctor of Medicine (M.D.)
Internal Medicine - Medical Oncology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1221 MADISON ST, STE 1020, SEATTLE, WA 981041380 (Tel: 2062152658)
Registered at PO BOX 25608, SALT LAKE CITY, UT 841250608 (Tel: 2063204476)
Recorded as ALEXANDRA NELSON, FNP
Registered at 8081 INNOVATION PARK DR, FAIRFAX, VA 220314867 (Tel: 5714724724)
Registered at PO BOX 37174, BALTIMORE, MD 212973174 (Tel: 5714235699)
NPI status registered as active in NPPES database
Registered at 825 EASTLAKE AVE E, SEATTLE, WA 981094405 (Tel: 2065205000)
Registered at PO BOX 50095, SEATTLE, WA 981455095 (Tel: 2065205700)
Recorded as ALEXANDRA NELSON, ARNP
Nurse Practitioner (license number reported to NPPES: WA RN60980091)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Seattle
- Suzanne Astley, ARNP
- Brandon Ibarra
- Rebecca Robinson
- Megan Mcgilvray, ARNP
- Dr. Carlos Alberto Camal-Sanchez, ARNP, DNP
- Bevan Davis
Mailing Address
Po Box 25608
Salt Lake City, UT 841250608
Phone: 2063204476