MS. ALEXANDRIA COLLEEN GRODIE (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1063021905

MS. ALEXANDRIA COLLEEN GRODIE (PMHNP) is a healthcare provider. based in Washington, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 2020022385 (MO). The NPI Number for MS. ALEXANDRIA COLLEEN GRODIE (PMHNP) is 1063021905

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MS. ALEXANDRIA COLLEEN GRODIE (PMHNP)
NPI
1063021905
Phone
(636) 266-7900
Address
851 E 5TH ST STE 154
Enumeration Date
27 July 2020
Last Update Date
4 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6362667900
Graduation Year
2020 (6 years ago)
PAC ID
3274952353
Group Practice PAC ID
4688998602
Professional Enrollment ID
I20200924000166
Address ID
MO630903135WA851XXSTXX401
Telehealth
Yes

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

7,023 NURSE PRACTITIONER in MO

Provider Addresses for MS. ALEXANDRIA COLLEEN GRODIE (PMHNP)

  • 851 E 5TH ST STE 154

    WASHINGTON, MO 630903136

    Phone: (636) 266-7900

    Type: Mailing

  • 615 S NEW BALLAS RD

    SAINT LOUIS, MO 631418221

    Phone: (314) 251-6000

    Type: Mailing

  • 1 Childrens Pl

    Div Psychiatry, Child and Adolescent

    Saint Louis, MO 631101002

    Phone: (314) 286-1700

    Fax: (314) 286-1777

    Type: Location

  • 660 S EUCLID AVE

    CB 8134

    SAINT LOUIS, MO 631101010

    Phone: (314) 286-1700

    Fax: (314) 286-1777

    Type: Mailing

  • 1 CHILDRENS PL

    DIV PSYCHIATRY, CHILD AND ADOLESCENT

    SAINT LOUIS, MO 631101002

    Phone: (314) 286-1700

    Fax: (314) 286-1777

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-05-10 • Largest payer in this snapshot: Alkermes, Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alkermes, Inc.$19
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200924000166INurse PractitionerMOTBD
I20260226001019INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes8428$0
99215Established patient office or other outpatient visit, 40-54 minutes1917$0
99205New patient office or other outpatient visit, 60-74 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 63090)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688998602View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
P S Y C H I A T R YMO
P S Y C H I A T R YMO
Nurse PractitionerMO
Nurse PractitionerMO
-MO
P S Y C H I A T R YMO
Clinical Social WorkerMO
P S Y C H I A T R YMO

Reviews

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Frequently asked questions

How is MS. ALEXANDRIA COLLEEN GRODIE (PMHNP) identified in CMS data?
CMS-hosted NPPES data lists MS. ALEXANDRIA COLLEEN GRODIE (PMHNP) with NPI 1063021905.
Does CMS list MS. ALEXANDRIA COLLEEN GRODIE (PMHNP) as active?
Yes — MS. ALEXANDRIA COLLEEN GRODIE (PMHNP) is active in the NPI listing used on this page.
What taxonomy line describes MS. ALEXANDRIA COLLEEN GRODIE (PMHNP)?
For research purposes, treat MS. ALEXANDRIA COLLEEN GRODIE (PMHNP) as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MS. ALEXANDRIA COLLEEN GRODIE (PMHNP)?
MS. ALEXANDRIA COLLEEN GRODIE (PMHNP)'s geographic hint is Washington, Missouri in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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