Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexa Evie Naceanceno, PA

Individual provider Physician Assistant · NPI 1952867731

Alexa Evie Naceanceno, PA is a Physician Assistant in Saint Louis, Missouri. Qualified in 2019, 7 years ago. Practices with South County Endocrinology and Obesity Medicine LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
7
Licensed in
IL, MO
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1031 Bellevue Ave Ste 300
Saint Louis, MO 63117-1857
Phone: (314) 647-9444
Fax: (314) 647-7317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2020007934 (MO)
Physician Assistant Taxonomy 363A00000X · Licence 085.007574 (IL)

Record details

NPI number1952867731
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedFebruary 16, 2019
Last updated in NPPESJuly 28, 2020
Certification dateJuly 28, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice South County Endocrinology And Obesity Medicine Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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