Alexandra Dionne Kittrell , APRN, MSN, CNM
Advanced Practice Midwife β’ Longview, TX
1107 E Marshall Ave
Longview, TX 756015602
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Alexandra Kittrell is listed in NPPES under Advanced Practice Midwife.
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NPI assigned on January 23, 2013; this date does not establish years in practice.
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Published CMS data list 14 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Estradiol β 14 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table Β· Guide: How to read Medicare Part D prescriber data
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Fewer Part D prescriptions than 65% of clinicians listed under Advanced Practice Midwife in Texas (2024, 40 clinicians with data). Median for this group: 20. Middle half: 13 to 30.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part D prescriptions went from 12 in 2022 to 14 in 2024.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2022β2024.
Practice Location & Contact Primary Location
1107 E Marshall Ave
Longview, TX 756015602
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 5 distinct additional practice-address records in Longview, TX; Tyler, TX. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Advanced Practice Midwife: NPPES taxonomy is a reported classification, not proof of board certification.
30-day fills
40 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$621 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $48.81 across 3 records.
By nature of payment
- Food and Beverage: $48.81 across 3 records.
Reporting-company totals
- Sage Therapeutics, LLC: $29.55 across 2 records.
- Organon LLC: $19.26 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
NPI first issued
2013
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Alexandra Kittrell has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Alexandra Kittrell as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Longview and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Fewer Part D prescriptions than 65% of clinicians listed under Advanced Practice Midwife in Texas (2024, 40 clinicians with data). Median for this group: 20. Middle half: 13 to 30.
Too few clinicians listed under Advanced Practice Midwife in Longview have Medicare Part D data for 2024 to compare.
Part D drug cost
Close to the middle for clinicians listed under Advanced Practice Midwife in Texas (2024, 40 clinicians with data). Median for this group: $650. Middle half: $245 to $1,462.
Too few clinicians listed under Advanced Practice Midwife in Longview have Medicare Part D data for 2024 to compare.
9 active clinicians are listed under Advanced Practice Midwife with a practice address in Longview, TX (632 in Texas).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part D prescriptions
Medicare Part D prescriptions went from 12 in 2022 to 14 in 2024.
- 2022: 12
- 2023: 14
- 2024: 14
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30-day fills
30-day fills went from 16 in 2022 to 40 in 2024.
- 2022: 16
- 2023: 26
- 2024: 40
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Part D drug cost
Part D drug cost went from $757 in 2022 to $621 in 2024.
- 2022: $757
- 2023: $643
- 2024: $621
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $6.02 in 2022 to $48.81 in 2025.
- 2022: $6.02
- 2024: $128.14
- 2025: $48.81
Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 β December 31, 2025): fewer than 11 records totaling $48.81.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Organon LLC |
Food and Beverage
In-kind items and services
|
JADA SYSTEM | General | $19.26 |
| Sage Therapeutics, LLC |
Food and Beverage
In-kind items and services
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ZURZUVAE | General | $15.64 |
| Sage Therapeutics, LLC |
Food and Beverage
In-kind items and services
|
ZURZUVAE | General | $13.91 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Estradiol | Estradiol | 14 | 1,191 | $621.03 | β |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-07-16NUCC Taxonomy Code: 367A00000X
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - CERTIFIED NURSE MIDWIFE (CNM)
I20130430000237
TX
2769629252
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Secondary Practice Locations
425 N Fredonia St
Longview, TX 756016464
Phone: 9037582610
825 Medical Dr Ste A
Tyler, TX 757012143
Phone: 9037582610
705 E Marshall Ave Ste 3000
Longview, TX 756015661
Phone: 9037582610
802 Medical Dr Ste 101
Longview, TX 756055169
Phone: 9037582610
1761 W Loop 281
Longview, TX 756042734
Phone: 9037582610
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Advanced Practice Midwife
Family Nurse Practitioner, Certified Nurse Midwife
Optometrist
Doctor of Optometry
Nurse Practitioner - Psychiatric/Mental Health
ANPBC, Psychiatric-Mental Health Nurse Practitioner (Board Certified)
Social Worker - Clinical
Licensed Clinical Social Worker
Physician Assistant
Physician Assistant
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1107 E MARSHALL AVE, LONGVIEW, TX 756015602 (Tel: 9037582610)
Advanced Practice Midwife (license number reported to NPPES: TX AP123277)
Registered at 825 MEDICAL DR STE A, TYLER, TX 757012143 (Tel: 9037582610)
Registered at 1107 E MARSHALL AVE, LONGVIEW, TX 756015602 (Tel: 9037582610)
Recorded as ALEXANDRA KITTRELL, APRN, MSN, CNM
Registered at 323 E HAWKINS PKWY STE D, LONGVIEW, TX 756058165 (Tel: 9033155733)
Registered at PO BOX 846098, DALLAS, TX 752846098 (Tel: 9033246400)
NPI status registered as active in NPPES database
Registered at 410 N 4TH ST, LONGVIEW, TX 756016511 (Tel: 9032340776)
Registered at PO BOX 2709, LONGVIEW, TX 756062709 (Tel: 9032340776)
Recorded as ALEXANDRA KITTRELL, RN, MSN, CNM
Advanced Practice Midwife (license number reported to NPPES: TX 721460)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Advanced Practice Midwifes in Longview
- Jacqueline Weber, CNM
- Jennifer Boynton, FNP, CNM
- Kelly Royce, APRN, CNM
- Jaclyn Gilliam, CNM
- Sylyna Kennedy, RN, CNM
Mailing Address
1107 E Marshall Ave
Longview, TX 756015602
Phone: 9037582610