MRS. ALEXA MARIE FIDER-WHYTE (DMSC, PA-C) – Medical Physician Assistant, NPI 1306814199

MRS. ALEXA MARIE FIDER-WHYTE (DMSC, PA-C) is a healthcare provider. based in St louis, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials DMSC, PA-C. They hold a License No. 2005017774 (MO). The NPI Number for MRS. ALEXA MARIE FIDER-WHYTE (DMSC, PA-C) is 1306814199

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ALEXA MARIE FIDER-WHYTE (DMSC, PA-C)
NPI
1306814199
Phone
(314) 977-6828
Address
3691 RUTGER AVE
Enumeration Date
9 March 2006
Last Update Date
3 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
4385672666
Group Practice PAC ID
0143608372
Professional Enrollment ID
I20050728000384
Address ID
MO631041016SA1225XBLVD400
Telehealth
Yes

Contacts

Secure Messaging
afiderwhyte236533@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,853 PHYSICIAN ASSISTANT in MO

Provider Addresses for MRS. ALEXA MARIE FIDER-WHYTE (DMSC, PA-C)

  • 3691 RUTGER AVE

    PROVIDER ENROLLMENT

    ST LOUIS, MO 63110

    Phone: (314) 977-6828

    Fax: (314) 977-6777

    Type: Mailing

  • 1225 S GRAND BLVD

    SAINT LOUIS, MO 631041016

    Phone: (314) 257-3760

    Fax: (314) 257-3761

    Type: Location

  • 1008 S SPRING AVE

    SAINT LOUIS, MO 631102520

    Phone: (314) 977-2140

    Fax: (314) 977-2141

    Type: Mailing

  • Vista, St. Louis, Missouri, 63147, United States

    ST LOUIS, MO 63110

    Phone: (314) 977-6055

    Fax: (314) 268-5108

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $9,162.

Total Amount is formed as General ($9,162) + Research ($0) + Ownership ($0) = $9,162.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Gilead Sciences, Inc. ($8,999).

Total Amount

$9,162

General + Research + Ownership

Payments

21

Total payment records

General Amount

$9,162

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2005-07-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20050728000384IPhysician AssistantMOTBD

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
49083Drainage of fluid from abdominal cavity using imaging guidance8819$0
99214Established patient office or other outpatient visit, 30-39 minutes7554$0
99215Established patient office or other outpatient visit, 40-54 minutes6851$0
View full utilization report →

Insurance plans in this area (ZIP 63110)

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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: 0143608372View full group profile
NameSpecialtyState
Anesthesiology AssistantMO
Pediatric Medicine, Hematology/OncologyTN
Nurse PractitionerIL
Certified Registered Nurse Anesthetist (Crna)MO
Pediatric MedicineIL
G A S T R O E N T E R O L O G YWV
Pediatric Medicine, Cardiovascular Disease (Cardiology)MO
Infectious DiseaseOH
Physician AssistantMO
Pediatric Medicine, Cardiovascular Disease (Cardiology)MO

Reviews

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Frequently asked questions

What is the registry number for MRS. ALEXA MARIE FIDER-WHYTE (DMSC, PA-C)?
The registry entry for MRS. ALEXA MARIE FIDER-WHYTE (DMSC, PA-C) shows NPI 1306814199.
Is MRS. ALEXA MARIE FIDER-WHYTE (DMSC, PA-C) currently accepting referrals based on NPI status?
Registry metadata lists MRS. ALEXA MARIE FIDER-WHYTE (DMSC, PA-C) as active.
How should patients interpret MRS. ALEXA MARIE FIDER-WHYTE (DMSC, PA-C)'s specialty?
The extract shows Medical Physician Assistant for MRS. ALEXA MARIE FIDER-WHYTE (DMSC, PA-C). Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. ALEXA MARIE FIDER-WHYTE (DMSC, PA-C)?
MRS. ALEXA MARIE FIDER-WHYTE (DMSC, PA-C) is associated with St Louis, Missouri in the same public data insurers reference.
Why is information missing for MRS. ALEXA MARIE FIDER-WHYTE (DMSC, PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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