MEDICARE: MRS. ALEXIS LEA MOUNT FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	2026002051	MO

General Provider Information

NPI Number	:	1194684209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALEXIS LEA MOUNT FNP-C

Provider Business Mailing Address
First Line	:	912 FOSTER CT
Second Line	:
City	:	PEVELY
State	:	MO
Zip	:	63070-2999
Country	:	US
Telephone Number	:	636-675-5313
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 BARNES JEW HOSP PLZ
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-1003
Country	:	US
Telephone Number	:	636-675-5313
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	03/02/2026

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