ALEXANDRA RAE MICKLEWRIGHT DNP, PMHNP-BC
NPI 1194554931
Nurse Practitioner - Psychiatric/Mental Health in Belgrade, MT

Active since July 30, 2024PECOS EnrolledAccepts Medicare Assignment
602 HALFPIPE ST UNIT C, BELGRADE, MT 59714(406) 871-6119 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 5, 2024, Jul 30, 2024 (2 updates tracked since 2024).

About Alexandra Rae Micklewright Dnp, Pmhnp-bc NPPES

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

ALEXANDRA RAE MICKLEWRIGHT DNP, PMHNP-BC (NPI 1194554931) is an individual psychiatric/mental health provider in Belgrade, Montana, licensed in Oregon (10032847) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Bay Area Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1194554931
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameALEXANDRA RAE MICKLEWRIGHTCredential: DNP, PMHNP-BC
Location Address602 HALFPIPE ST UNIT CBelgrade, MT 59714-3577
Mailing Address602 Halfpipe St Unit CBelgrade, MT 59714-3577 · (406) 871-6119
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 30, 2024
Last NPPES UpdateNovember 5, 20242 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1194554931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OR · 10032847
602 HALFPIPE ST UNIT C, Belgrade, MT 59714

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexandra Rae Micklewright Dnp, Pmhnp-bc 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 ID7214457290
PECOS Enrollment IDI20250224003044
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.

Medicare Billing Reassignment

Medicare enrollment records show Alexandra Micklewright reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
281 LACLAIR STREET
Coos Bay, OR 97420
  • Reassigned Medicare billing, Oregon enrollment
  • 24 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Bay Area Hospital

Acute Care Hospitals · Coos Bay, OR
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number380090
Location1775 Thompson RoadCoos Bay, OR 97420 · Coos County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59714 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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.

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 Micklewright's NPI number?

The NPI number for Alexandra Micklewright is 1194554931. It was assigned to this individual provider in the NPPES registry on July 30, 2024.

Where is Alexandra Micklewright located?

Alexandra Micklewright practices at 602 Halfpipe St Unit C, Belgrade, MT 59714. The listed phone number is (406) 871-6119.

What is Alexandra Micklewright's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Alexandra Micklewright enrolled in Medicare?

Yes. Alexandra Micklewright 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.

Which organization bills Medicare for Alexandra Micklewright's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Micklewright reassigns Medicare benefits to Coos County Oregon (Coos Bay, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexandra Micklewright's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexandra Micklewright accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Alexandra Micklewright 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 Micklewright affiliated with any hospitals?

According to CMS data, Alexandra Micklewright is affiliated with Bay Area Hospital.

When was this NPI record last updated?

The NPPES record for Alexandra Micklewright was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.