Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexandra Nicole Minutillo

Individual provider Medical Physician Assistant · NPI 1427894781

Alexandra Nicole Minutillo is a Physician Assistant in Fairfax, Virginia. Qualified in 2024, 2 years ago. Practices with Fairfax Colon and Rectal Surgery PC, a 12-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
2
In the registry since
2024
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2710 Prosperity Ave Ste 200
Fairfax, VA 22031-4358
Phone: (703) 280-2841
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1427894781
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 6, 2024
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Fairfax Colon And Rectal Surgery Pc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Fairfax