Alexandria Bain
Individual provider Active NPI Physician Assistant · Saint Louis, MO
NPI 1578027488 · NPPES record last updated Oct 17, 2025
Key facts
- NPI
- 1578027488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 2020031470 (MO)
- Practice address
- 615 S New Ballas Rd
Saint Louis, MO 63141-8221 - Phone
- (314) 251-6000
- Fax
- (636) 386-7679
- NPI assigned
- Jan 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of Missouri, Kansas City, School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Western Anesthesiology Associates Inc
Practice addresses (Care Compare)
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-4687
Hospital & facility affiliations
- Mercy Hospital St Louis
- Mercy Hospital South
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201013002756 | MO | Practitioner - Physician Assistant | 4688094618 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020031470 | MO | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2020031470 | MO | Yes |
Addresses
Primary practice location
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Mailing address
339 Consort Dr
Ballwin, MO 63011-4439
Phone (636) 386-9224
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abain383031@direct-ehr-ssmhc.com | Direct |
Other providers in Saint Louis, MO
- Tammie Leigh Bailey
- Thomas C Bailey
- Todd D Bailey
- V Michela Bailey
- Baileys Business Group
- Jacob Bain
- Sydney Bain
- Sierra Elizabeth Bains
- Elizabeth Baiocchi
- Joseph Baiocco
All providers in Saint Louis, MO · Physician Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.