Individual provider Active NPI

Alexandra Gain

  • Nurse Practitioner
  • Saint Charles, MO
National Provider Identifier
1497474951
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2018025735 Issued in MS
Practice address
4029 Fulling Mill St
Saint Charles, MO 63301-7421
Phone
(314) 602-8473
NPI assigned
Aug 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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 2018025735 MS Primary

Addresses

Primary practice location

4029 Fulling Mill St
Saint Charles, MO 63301-7421

Mailing address

4029 Fulling Mill St
Saint Charles, MO 63301-7421
Phone (314) 602-8473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20240620002087 MO Practitioner - Nurse Practitioner 6709329634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complex Illness Management of St Lukes LLCGroup PAC ID 5193193266, 6 clinicians

Practice addresses (Care Compare)

224 S Woods Mill Rd
Chesterfield, MO 63017-3513
Phone (636) 685-7788

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2018025735MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complex Illness Management of St Lukes LLC CurrentSince Nov 12, 2024 Accepting new patients
Clear Practice PLLC CurrentSince May 13, 2024 Accepting new patients
St. Lukes Medical Group Past Accepting new patients

Locations

121 Saint Lukes Center Dr
Chesterfield, MO 63017
Phone (314) 434-3278

224 S Woods Mill Rd
Ste 620S
Chesterfield, MO 63017
Phone (314) 434-8001

13900 Riverport Dr
Maryland Heights, MO 63043
Phone (314) 209-2700

7777 Bonhomme Ave
Ste 1800
Saint Louis, MO 63105
Phone (314) 209-2800

Interoperability endpoints

  • Direct secure messaging: alex.gain@768220391342084.direct.elationemr.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1497474951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4029 FULLING MILL ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633017421",
            "telephone_number": "314-602-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4029 FULLING MILL ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633017421",
            "telephone_number": "314-602-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAIN",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "2018025735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.