MS. ALEXIS ANN MCALLISTER PNP - NPI 1164827242 - Nurse Practitioner in Breese, IL

Q: What is Alexis Mcallister's NPI number?

The NPI number for Alexis Mcallister is 1164827242. It was assigned to this individual provider in the NPPES registry on October 30, 2014.

Q: What is Alexis Mcallister's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Alexis Mcallister was last updated on May 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Alexis Ann Mcallister Pnp NPPES

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

MS. ALEXIS ANN MCALLISTER PNP (NPI 1164827242) is an individual pediatrics provider in Breese, Illinois, licensed in Illinois (209012323) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1164827242

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMS. ALEXIS ANN MCALLISTERCredential: PNP

Location Address9401 HOLY CROSS LN STE 112Breese, IL 62230-3510

Mailing Address9401 Holy Cross Ln Ste 112Breese, IL 62230-3510 · (618) 526-7271 · Fax (618) 526-7313

Phone(618) 526-7271

Fax(618) 526-7313

Sole ProprietorNo

Enumeration DateOctober 30, 2014

Last NPPES UpdateMay 16, 20257 updates tracked since enumeration

NPPES CertifiedMay 16, 2025

✔ NPI 1164827242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

Licenses✔ Licensed in IL · 209012323✔ Licensed in MO · 2018043672

Also ListedNurse PractitionerTaxonomy 363L00000X · License 209012323 (IL)

9401 HOLY CROSS LN STE 112, Breese, IL 62230

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Secondary Practice Location 1

Location 11 Childrens Pl, Div Ped Endocrinology and DiabetesSaint Louis, MO 63110-1002 · Phone (314) 454-6051 · Fax (314) 454-6225

Other Identifiers 1

Medicaid420064410MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Alexis Ann Mcallister Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62230 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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.