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

Individual provider Registered Nurse · NPI 1932784105

Alyxandrea Marie Kelly, PMHNP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2023, 3 years ago. Practices with Clinical Research Associates PC, a 21-clinician group and accepts Medicare assignment. Licensed in Michigan and Missouri.

Years since qualifying
3
Licensed in
MI, MO
In the registry since
2021
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

777 Craig Rd
Saint Louis, MO 63141-7276
Phone: (231) 970-0460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2024000884 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 4704313495 (MI)

Record details

NPI number1932784105
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedMarch 10, 2021
Last updated in NPPESFebruary 2, 2024
Certification dateFebruary 2, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Clinical Research Associates Pc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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