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

Alexandra Gianoli, PA-C, MMS, ATC-L, MAT

Individual provider Athletic Trainer · NPI 1952754764

Alexandra Gianoli, PA-C, MMS, ATC-L, MAT is a Physician Assistant in Saint Louis, Missouri. Qualified in 2019, 7 years ago. Practices with Mercy ACO Clinical Services Inc, a 138-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida, Missouri and South Carolina.

Years since qualifying
7
Licensed in
FL, MO, SC
In the registry since
2016
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone: (314) 251-6339
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2021024746 (MO)
Athletic Trainer Taxonomy 2255A2300X · Licence AL2885 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 3540 (SC)

Record details

NPI number1952754764
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , MMS , ATC-L , MAT
Sole proprietorNo
NPI enumeratedJuly 16, 2016
Last updated in NPPESSeptember 21, 2021
Certification dateSeptember 21, 2021

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 Mercy Aco Clinical Services Inc — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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