Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Alexandria Nicole Odell, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1588389324

Alexandria Nicole Odell, FNP-BC is a Nurse Practitioner in Port Jefferson, New York. Qualified in 2022, 4 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

70 N Country Rd Ste 105
Port Jefferson, NY 11777-2161
Phone: (631) 642-0609
Fax: (631) 642-0588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F35015-01 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F350150 (NY)

Record details

NPI number1588389324
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedOctober 4, 2022
Last updated in NPPESOctober 16, 2023
Certification dateOctober 16, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients213
Services billed 578 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at North Shore-Lij Medical PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 6350 clinicians in the practice; 12 are shown here.

Other providers in Port Jefferson