MRS. LEXXIE S. GRAMKE PMHNP-BC, AGPCNP-BC
NPI 1982002812
Nurse Practitioner - Psychiatric/Mental Health in Saint Louis, MO

Active since December 09, 2014PECOS EnrolledAccepts Medicare Assignment
11116 S TOWNE SQ STE 205, SAINT LOUIS, MO 63123(314) 567-1958 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Lexxie S. Gramke Pmhnp-bc, Agpcnp-bc NPPES

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

MRS. LEXXIE S. GRAMKE PMHNP-BC, AGPCNP-BC (NPI 1982002812) is an individual psychiatric/mental health provider in Saint Louis, Missouri, licensed in Missouri (2014040185) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1982002812
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. LEXXIE S. GRAMKECredential: PMHNP-BC, AGPCNP-BC
Location Address11116 S TOWNE SQ STE 205Saint Louis, MO 63123-7809
Mailing Address11116 S Towne Sq Ste 205Saint Louis, MO 63123-7809 · (314) 567-1958
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 9, 2014
Last NPPES UpdateNovember 4, 2020
NPPES CertifiedNovember 4, 2020
✔ NPI 1982002812 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 · 2014040185
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 2014040185 (MO)
11116 S TOWNE SQ STE 205, Saint Louis, MO 63123

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

Mrs. Lexxie S. Gramke Pmhnp-bc, Agpcnp-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 ID8325363641
PECOS Enrollment IDI20150831000532
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 Lexxie Gramke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
1 ILLINI DR
Peoria, IL 61605
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
Clinical
1805 N MILL ST STE L
Naperville, IL 60563
  • Reassigned Medicare billing, Illinois enrollment
  • 9 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 63123 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier30 claims4,220 services$1.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Lexxie Gramke's NPI number?

The NPI number for Lexxie Gramke is 1982002812. It was assigned to this individual provider in the NPPES registry on December 9, 2014.

Where is Lexxie Gramke located?

Lexxie Gramke practices at 11116 S Towne Sq Ste 205, Saint Louis, MO 63123. The listed phone number is (314) 567-1958.

What is Lexxie Gramke's specialty?

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

Is Lexxie Gramke enrolled in Medicare?

Yes. Lexxie Gramke 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 Lexxie Gramke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lexxie Gramke reassigns Medicare benefits to 2 organizations: Board Of Trustees Of The University Of Illinois (Peoria, IL) and Dr Nancy M Rivas PC Flourishing Lives Counseling Center (Naperville, 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 Lexxie Gramke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lexxie Gramke accept?

Health plans from Medica and Oscar Health list Lexxie Gramke 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 Lexxie Gramke was last updated on November 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.