Alexandra Dominique Koeltzow, APRN
Nurse Practitioner (CMS) · Windermere, FL
At a glance
13790 Bridgewater Crossings Blvd Ste 1080, Windermere, FL 34786-5447
NPPES record updated Aug 13, 2026. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
13790 Bridgewater Crossings Blvd Ste 1080Windermere, FL 34786-5447
Additional reported practice locations
32 W Gore StOrlando, FL 328061134
Phone: 3218413581
Fax: 3218435177 7319 Stonerock Cir Ste 106
Orlando, FL 328198002
Phone: 4072489800 9400 Turkey Lake Rd # Mp453
Orlando, FL 328198001
Phone: 3218422655
Education & affiliations
- Medical / professional school
- Not reported in this file
- Graduation year
- 2019
- CMS specialties
- Nurse Practitioner
Practice groups
Reported hospital affiliations
- Orlando Health Orlando, FL
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Source: CMS Facility Affiliation Data · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Service-mix comparison is unavailable for this NPI in the imported Medicare service file.
Industry-reported general payments
No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Nurse Practitioner (CMS)
- Taxonomy code
- 363LA2200X
- Enumeration date
- Jul 2, 2019
- Record updated
- Aug 13, 2026
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- APRN
Reported taxonomies and licenses
163WM0705X
License reported: RN9390112 FL
363L00000X
License reported: 11003194 FL
363LA2200X · Primary
License reported: APRN11003194 FL
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
13790 Bridgewater Crossings Blvd Ste 1080Windermere, FL 34786-5447
- Phone
- (407) 201-9163
- Fax
- (407) 392-9063
Mailing address
13790 BRIDGEWATER CROSSINGS BLVD STE 1080WINDERMERE, FL 347865447
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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