ALEX CAMILLE JEFFERSON PMHNP-BC
NPI 1588950919
Nurse Practitioner - Psychiatric/Mental Health in Kennett, MO

Q: What is Alex Jefferson's NPI number?

The NPI number for Alex Jefferson is 1588950919. It was assigned to this individual provider in the NPPES registry on June 23, 2011.

Q: What is Alex Jefferson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alex Jefferson was last updated on January 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 23, 2011PECOS EnrolledAccepts Medicare Assignment

935 STATE ROUTE VV, KENNETT, MO 63857(573) 888-5925 Get Directions Write a Review

NPPES record last updated: January 16, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Alex Camille Jefferson Pmhnp-bc NPPES

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

ALEX CAMILLE JEFFERSON PMHNP-BC (NPI 1588950919) is an individual psychiatric/mental health provider in Kennett, Missouri, licensed in Missouri (2020001065) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1588950919

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameALEX CAMILLE JEFFERSONCredential: PMHNP-BC

Location Address935 STATE ROUTE VVKennett, MO 63857-3822

Mailing Address935 State Route VvKennett, MO 63857-3822 · (573) 888-5925

Phone(573) 888-5925

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 23, 2011

Last NPPES UpdateJanuary 16, 2020

✔ NPI 1588950919 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 MO · 2020001065

Also ListedRegistered NurseTaxonomy 163W00000X · License 2011017684 (MO)

935 STATE ROUTE VV, Kennett, MO 63857

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Alex Camille Jefferson 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 ID4284060906

PECOS Enrollment IDI20200128002457

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.

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

51 services17 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

29 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63857 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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 20

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

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