1. Home
  2. Directory
  3. Louisiana
  4. Clinton
  5. Nurse Practitioner
  6. NPI Profile

ALEXANDRA AGE PMHNP
NPI 1679371215
Nurse Practitioner - Psychiatric/Mental Health in Clinton, LA

Active since March 07, 2025PECOS EnrolledAccepts Medicare Assignment
11990 JACKSON ST, CLINTON, LA 70722(225) 683-5292(225) 683-1310 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alexandra Age Pmhnp NPPES

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

ALEXANDRA AGE PMHNP (NPI 1679371215) is an individual psychiatric/mental health provider in Clinton, Louisiana, licensed in Louisiana (235118) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1679371215
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameALEXANDRA AGECredential: PMHNP
Location Address11990 JACKSON STClinton, LA 70722-3210
Mailing AddressPo Box 395Clinton, LA 70722-0395 · (225) 683-5292 · Fax (225) 683-1310
Phone(225) 683-5292
Fax(225) 683-1310
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 7, 2025
NPPES CertifiedMarch 7, 2025
✔ NPI 1679371215 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 LA · 235118
11990 JACKSON ST, Clinton, LA 70722
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health 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

Alexandra Age Pmhnp 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 ID2769907294
PECOS Enrollment IDI20250417000918
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 70722 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

CASSANDRA MCPHATE RN
Registered Nurse
11990 JACKSON ST
CLINTON, LA 70722
East Feliciana Parish (225) 683-5292
MRS. SHANTELE ANGELA BUTLER LPC-S
Counselor (Professional)
11990 JACKSON ST
CLINTON, LA 70722
East Feliciana Parish (225) 683-5292
SANDRA WILSON COLLINS
Registered Nurse
11990 JACKSON ST
CLINTON, LA 70722
East Feliciana Parish (225) 683-1380
TARA ELIZABETH SMITH LDN
Dietitian, Registered
11990 JACKSON ST
CLINTON, LA 70722
East Feliciana Parish (225) 683-5292
KELLI R BARBAY LCSW
Social Worker (Clinical)
11990 JACKSON ST
CLINTON, LA 70722
East Feliciana Parish (225) 683-5292
MRS. KELLY BANKSTON APRN
Nurse Practitioner (Family)
11990 JACKSON ST
CLINTON, LA 70722
East Feliciana Parish (225) 683-5292
MIRANDA SMITH GSW
Social Worker (Clinical)
11990 JACKSON ST
CLINTON, LA 70722
East Feliciana Parish (225) 683-5292
DR. LAUREN OLSON SMITH D.M.D
Dentist (General Practice)
11990 JACKSON ST
CLINTON, LA 70722
East Feliciana Parish (225) 683-5292

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 Age's NPI number?

The NPI number for Alexandra Age is 1679371215. It was assigned to this individual provider in the NPPES registry on March 7, 2025.

Where is Alexandra Age located?

Alexandra Age practices at 11990 Jackson St, Clinton, LA 70722. The listed phone number is (225) 683-5292.

What is Alexandra Age's specialty?

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

Is Alexandra Age enrolled in Medicare?

Yes. Alexandra Age 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 Age accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Alexandra Age 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 Alexandra Age was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.