ALEXA KOON PMHNP-BC
NPI 1316542665
Nurse Practitioner - Psychiatric/Mental Health in Phenix City, AL

Active since December 03, 2020PECOS EnrolledAccepts Medicare Assignment
3700 S RAILROAD ST, PHENIX CITY, AL 36867(334) 664-0463 Get Directions Write a Review

NPPES record last updated: October 2, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 2, 2022, Dec 3, 2020 (2 updates tracked since 2020).

About Alexa Koon Pmhnp-bc NPPES

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

ALEXA KOON PMHNP-BC (NPI 1316542665) is an individual psychiatric/mental health provider in Phenix City, Alabama, licensed in Alabama (1-189751) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Talbotton, and is a graduate of University Alabama Birmingham - School Of Optometry (2022).

NPPES Registry Identity

NPI1316542665
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameALEXA KOONCredential: PMHNP-BC
Location Address3700 S RAILROAD STPhenix City, AL 36867-2993
Mailing Address865 Lee Road 314Smiths Station, AL 36877-3113 · (315) 225-1760
Sole ProprietorYes
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 2022
Enumeration DateDecember 3, 2020
Last NPPES UpdateOctober 2, 20222 updates tracked since enumeration
NPPES CertifiedOctober 2, 2022
✔ NPI 1316542665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AL · 1-189751
Also ListedRegistered NurseTaxonomy 163W00000X · License 11143439 (TN)
3700 S RAILROAD ST, Phenix City, AL 36867

Other Names 1

Former Name (1)Alexa Sanzone Rn

Secondary Practice Location 1

Location 11255 ONeal RdTalbotton, GA 31827-7623 · Phone (315) 225-1760

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

Alexa Koon 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 ID6406224245
PECOS Enrollment IDI20260330000846
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 Reassignments

2

Medicare enrollment records show Alexa Koon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
3700 S RAILROAD ST STE A
Phenix City, AL 36867
  • Reassigned Medicare billing, Alabama enrollment
  • 15 clinicians in this Medicare group
Psychiatric/Mental Health
111 NORTH WABASH AVE. STE.100, THE GARLAND BUILDING, #3261
Chicago, IL 60602
  • Reassigned Medicare billing, Maryland enrollment
  • 2 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36867 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Other Providers at the Same Location NPPES 2

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

Pediatrics
3700 S RAILROAD ST, SUITE A
PHENIX CITY, AL 36867
Behavior Analyst
3700 S RAILROAD ST
PHENIX CITY, AL 36867

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 Alexa Koon's NPI number?

The NPI number for Alexa Koon is 1316542665. It was assigned to this individual provider in the NPPES registry on December 3, 2020. The provider is also known as Alexa Sanzone Rn.

Where is Alexa Koon located?

Alexa Koon practices at 3700 S Railroad St, Phenix City, AL 36867. The listed phone number is (334) 664-0463.

What is Alexa Koon's specialty?

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

Is Alexa Koon enrolled in Medicare?

Yes. Alexa Koon 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 organizations bill Medicare for Alexa Koon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexa Koon reassigns Medicare benefits to 2 organizations: Pinnacle Enterprises PC (Phenix City, AL) and Sway Behavioral Healthcare P.C. (Chicago, IL). Each 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 Alexa Koon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexa Koon accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Oscar Insurance Company and 1 other insurer list Alexa Koon 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.

When was this NPI record last updated?

The NPPES record for Alexa Koon was last updated on October 2, 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.