NPPES file of Aug 9, 2026

Alexandra Gain

Nurse Practitioner · Saint Charles, MO

Alexandra Gain is a nurse practitioner with a practice address in Saint Charles, Missouri, and NPI 1497474951, issued on Aug 26, 2022. Check the license with the Missouri board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1497474951
Name
Alexandra Gain
Primary taxonomy
Nurse Practitioner 363L00000X
License number
2018025735 MS
Self-reported in NPPES; status is on the state search
Practice location
4029 Fulling Mill St, Saint Charles, MO 63301
Phone
(314) 602-8473
Enumerated
Aug 26, 2022
Record last updated
Aug 26, 2022
Medicare enrollment
Enrolled (PECOS I20240620002087); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Alexandra Gain in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Missouri board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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97% fewer Medicare Part D claims than the average nurse practitioner in 2024

31 Medicare Part D claims for 11 beneficiaries, against an average of 1,109 among the 54,319 providers of this specialty who prescribed in Part D.

  1. Alexandra Gain31
  2. Specialty average1,109

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Bills Medicare through one group practice

  1. Complex Illness Management OF St Lukes LLCChesterfield, MO

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Alexandra Gain among 1,720 nurse practitioner records in Missouri

Alexandra Gain is one of 1,720 nurse practitioner records with a practice address in Missouri. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 82% of them.

  • NPI issued2022 · 82% of these records are older, 13% newer
  • In a Medicare fileYes · 78% of these records are
  • In the CMS Doctors and Clinicians fileYes · 63% of these records are
  • Graduated2014 · median 2017 among the 1,080 with a school on file
  • Record last updated2022 · 42% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363L00000X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

20 nurse practitioner records list a practice address in Saint Charles

They are 20 of the 1,547 NPPES records with a practice address in Saint Charles, and 1,720 nurse practitioner records in Missouri.

The 8 nurse practitioner records with the nearest ZIP codes

  1. Nanette Delgiudice, NPSaint Charles, MO 633011093080434
  2. Lori Freeman, ANPSaint Charles, MO 633011912104043
  3. Laura Gers, NP-CSaint Charles, MO 633011992085583
  4. Gladys GitauSaint Charles, MO 633011841855335
  5. Laura Grant, NPSaint Charles, MO 633011194240986
  6. Viktoria Meier, AGNPSaint Charles, MO 633011629552138
  7. Carmen Triguero, NPSaint Charles, MO 633011932663168
  8. Amy Brown, FNP-BCSaint Charles, MO 633031689223869

Common questions

What is Alexandra Gain's NPI number?

Alexandra Gain's National Provider Identifier (NPI) is 1497474951, issued on Aug 26, 2022. An NPI identifies a provider in billing; it is not a license.

Where is Alexandra Gain located?

The NPPES record lists a practice address at 4029 Fulling Mill St, Saint Charles, MO, 63301. Phone: (314) 602-8473. Providers update this record themselves, so call before visiting.

How can I verify Alexandra Gain's license?

Search the Missouri board that licenses this profession; the NPPES record confirms identity only.

How much does Alexandra Gain prescribe under Medicare Part D?

In 2024, Alexandra Gain had 31 Medicare Part D claims for 11 beneficiaries; the average among nurse practitioner prescribers was 1,109. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.