Debra M. Alexander, MSN, APRN, BC-FNP
NPI 1841471307ActiveIndividual· Nurse Practitioner, Family· Cape Girardeau, MO
Nurse Practitioner, Family (MSN, APRN, BC-FNP) with Regional Brain and Spine LLC, practicing in Cape Girardeau, Missouri. 589 Medicare patients in 2024, $111,806 paid; all of their 1,960 Part D prescriptions were generic. Boston Scientific Corporation was the largest of 6 companies reporting payments in 2025, $173.75 in all, mostly food and beverage. Lists Mercy Hospital Perry and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1841471307 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSN, APRN, BC-FNP |
| Sole proprietor | No |
| NPI issued | Nov 26, 2007 |
| Last updated in NPPES | Jun 5, 2024 |
| Certified by provider | Jun 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 100331 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 589 |
|---|---|
| Services billed | 1,799 across 15 procedure codes |
| Paid by Medicare | $111,806 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,960 · 2,504 30-day fills |
|---|---|
| Patients | 339 |
| Total drug cost | $32,746 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Regional Brain and Spine LLCCape Girardeau, MO · 11 clinicians
Hospital affiliations
- Mercy Hospital PerryPerryville, MO
- Mercy Hospital SoutheastCape Girardeau, MO
- Missouri Delta Medical CenterSikeston, MO
- Poplar Bluff Regional Medical CenterPoplar Bluff, MO
- Saint Francis Medical CenterCape Girardeau, MO
Industry payments (Open Payments)
- 2025$173.75 · 14 payments from 6 companies
- 2024$403.62 · 21 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $47.26 | 3 |
| Vertex Pharmaceuticals Incorporated | $40.74 | 2 |
| Medtronic, Inc. | $34.59 | 2 |
| Curonix LLC | $21.75 | 1 |
| Novo Nordisk Inc | $19.41 | 1 |
What the 2025 payments were for
- Food and Beverage$173.75 · 14 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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