ALEX CAMILLE JEFFERSON (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1588950919
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,023 NURSE PRACTITIONER in MO
Provider Addresses for ALEX CAMILLE JEFFERSON (PMHNP-BC)
935 STATE ROUTE VV
KENNETT, MO 638573822
Phone: (573) 888-5925
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $704.
Total Amount is formed as General ($704) + Research ($0) + Ownership ($0) = $704.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($141).
Total Amount
$704
General + Research + Ownership
Payments
33
Total payment records
General Amount
$704
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $141 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $114 |
| Alkermes, Inc. | $76 |
| ABBVIE INC. | $62 |
| ITI, Inc. | $59 |
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: 2020-01-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200128002457 | I | Nurse Practitioner | MO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 57 | 18 | $0 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 15 | 12 | $0 |
Insurance plans in this area (ZIP 63857)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MO | |
| Clinical Social Worker | AR | |
| Mental Health Counselor | MO | |
| Clinical Social Worker | MO | |
| Nurse Practitioner | MO | |
| Clinical Social Worker | OK | |
| Nurse Practitioner | KY | |
| Mental Health Counselor | MO | |
| Mental Health Counselor | MO | |
| Mental Health Counselor | MO |
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