Alexis Knisley, PA-C is a medicare enrolled "Physician Assistant" in Lake Saint Louis, Missouri. She went to Saint Louis University School Of Medicine and graduated in 2025 and has 1 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Ssm Medical Group Inc and her current practice location is
100 Medical Plz, Lake Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at
(636) 625-5200.
Alexis Knisley is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1306654405.
Provider's Profile
| Full Name | Alexis Knisley |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 1 Years |
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| Location | 100 Medical Plz, Lake Saint Louis, Missouri |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Alexis Knisley attended and graduated from Saint Louis University School Of Medicine in 2025
NPI Data:
- NPI Number: 1306654405
- Provider Enumeration Date: 12/20/2024
- Last Update Date: 01/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 1456849587
- Enrollment ID: I20251021004429
Medical Identifiers
Medical identifiers for Alexis Knisley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306654405 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ssm Medical Group Inc | 6608776299 | 557 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alexis Knisley is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Alexis Knisley, PA-C
430 Oak Hill Dr,
Lake Saint Louis, MO 63367-1407
Ph: () - | Alexis Knisley, PA-C
100 Medical Plz,
Lake Saint Louis, MO 63367-1366
Ph: (636) 625-5200 |
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