ALEXANDRA MAYBERRY
NPI 1023779378
Nurse Practitioner - Family in Saint Louis, MO

Active since January 07, 2022PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
3655 VISTA AVE, SAINT LOUIS, MO 63110(314) 577-6056 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alexandra Mayberry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRA MAYBERRY (NPI 1023779378) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2021018971) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Ssm Health Saint Louis University Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1023779378
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALEXANDRA MAYBERRY
Location Address3655 VISTA AVESaint Louis, MO 63110-2539
Mailing Address233 N 1st StBreese, IL 62230-1617
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 7, 2022
NPPES CertifiedJanuary 7, 2022
NPI 1023779378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MO · 2021018971
3655 VISTA AVE, Saint Louis, MO 63110

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alexandra Mayberry is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496148454
PECOS Enrollment IDI20220215002048
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
108 services64 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
3655 VISTA AVE
SAINT LOUIS, MO 63110
Nurse Practitioner (Adult Health)
3655 VISTA AVE, CENTER FOR BLOOD AND MARROW OUTPATIENT TRANSPLANTATION
SAINT LOUIS, MO 63110
Internal Medicine (Hematology & Oncology)
3655 VISTA AVE
SAINT LOUIS, MO 63110
Internal Medicine (Hematology & Oncology)
3655 VISTA AVE
SAINT LOUIS, MO 63110
Surgery
3655 VISTA AVE, SURGERY, 1ST FLOOR
ST LOUIS, MO 63110
Surgery (Vascular Surgery)
3655 VISTA AVE
SAINT LOUIS, MO 63110
Internal Medicine (Hematology & Oncology)
3655 VISTA AVE, WEST PAVILION
SAINT LOUIS, MO 63110
Nurse Practitioner (Family)
3655 VISTA AVE
SAINT LOUIS, MO 63110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexandra Mayberry's NPI number?

The NPI number for Alexandra Mayberry is 1023779378. It was assigned to this individual provider in the NPPES registry on January 7, 2022.

Where is Alexandra Mayberry located?

Alexandra Mayberry practices at 3655 Vista Ave, Saint Louis, MO 63110. The listed phone number is (314) 577-6056.

What is Alexandra Mayberry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alexandra Mayberry enrolled in Medicare?

Yes. Alexandra Mayberry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alexandra Mayberry accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Alexandra Mayberry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Alexandra Mayberry affiliated with any hospitals?

According to CMS data, Alexandra Mayberry is affiliated with Ssm Health Saint Louis University Hospital.

When was this NPI record last updated?

The NPPES record for Alexandra Mayberry was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.