ALEXA BOERSEN (NPI# 1568820199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568820199 |
| Entity Type | Individual |
| Full Name | ALEXA BOERSEN |
| Credential | PA-C |
| Practice Address |
9601 Townline Rd Minocqua WI 54548-9099 |
| Practice Telephone | 7153581255 |
| Mailing Telephone | 7153581255 |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2019-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601007612 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9601 Townline Rd, Minocqua, WI 545489099 | 7153581255 |
| Street Address |
9601 TOWNLINE RD |
| City | MINOCQUA |
| State | WI |
| Zip Code | 54548-9099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295721041 | Deno N. Karegeannes | Physician Assistant | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2005-09-26 |
| 1750934493 | Mchs Hospitals, Inc. | Clinic/Center | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2019-07-22 |
| 1508351099 | Lauren Erica Treml | Optometrist | 9601 Townline Rd, Minocqua, WI 54548 | 2018-06-27 |
| 1003313230 | Colleen Ann Mueller | Nurse Practitioner | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2018-04-13 |
| 1205355351 | Sami Ahmed | Family Medicine | 9601 Townline Rd, Minocqua, WI 54548 | 2017-09-10 |
| 1699136085 | Peter Thomas Keenan | Clinical Neuropsychologist | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2016-03-11 |
| 1881063329 | Marshfield Clinic Inc | Clinic/Center | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2015-09-15 |
| 1184009466 | Patti Ann Brown | Physician Assistant | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2015-07-28 |
| 1174916720 | David Fay Lee | Radiology | 9601 Townline Rd, Minocqua, WI 54548 | 2015-03-06 |
| 1700299203 | Gavin Mark Ambrosi | Surgery | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2014-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376197665 | Mchs Hospitals, Inc. | General Acute Care Hospital | 9576 Highway 70, Minocqua, WI 54548 | 2019-07-25 |
| 1922665637 | Ben Lonsdorf | Dentist | 9547 Lakeview Drive #200, Minocqua, WI 54548 | 2019-05-29 |
| 1396194460 | Samantha M Jeffery | Dentist | 5222 Us-51 N, Mercer, WI 54548 | 2016-06-08 |
| 1144608068 | Laura Gifford | Registered Nurse | 9845 Wintergreen Drive, Minocqua, WI 54548 | 2015-05-12 |
| 1174942353 | Jeffrey Clark | Pediatrics | 9576 Hwy 70, Department of Pediatrics, Minocqua, WI 54548 | 2014-04-15 |
| 1609136936 | Joseph M Pilarski | Chiropractor | 9792 Wi-70, Minocqua, WI 54548 | 2012-05-21 |
| 1225307242 | Minocqua Optical | Eyewear Supplier (Equipment, not the service) | 419 Chippewa St, Minocqua, WI 54548 | 2011-12-20 |
| 1073849840 | Frederick Alfred Melms Jr. | Family Medicine | 7380 Timber Lane, Minocqua, WI 54548 | 2009-10-28 |
| 1588820542 | Nicholas Bodmer | Radiology | 9576 Wi-70, Minocqua, WI 54548 | 2008-07-30 |
| 1063694545 | Gina M White | Counselor | 102 Front Street, Minocqua, WI 54548 | 2007-11-27 |
| Find all providers in zip 54548 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922035898 | Debra Joan Sanfilippo | Physician Assistant | 9900 Kawaga Rd, Minocqua, WI 54548-9107 | 2006-06-27 |
| 1295721041 | Deno N. Karegeannes | Physician Assistant | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2005-09-26 |
| 1184009466 | Patti Ann Brown | Physician Assistant | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2015-07-28 |
| 1649554361 | Mollie Pfeifer Petersen | Physician Assistant | 9601 Townline Rd, Minocqua, WI 54548-1390 | 2011-09-29 |
| 1073701512 | Abigail M. Mallek Karch | Physician Assistant | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2007-10-10 |
| 1245395086 | David E. Larson | Physician Assistant | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2006-12-22 |
| 1588761779 | Sheila S Reichel | Physician Assistant | 9601 Townline Rd, Minocqua, WI 54548 | 2006-09-20 |
| 1518065622 | Amy M. Koelling | Physician Assistant | 9601 Townline Rd, Minocqua, WI 54548 | 2006-09-20 |
| 1164534335 | Susan Mitchler | Physician Assistant | 9601 Townline Rd, Minocqua, WI 54548 | 2006-08-31 |
| 1124139266 | Sara Walker Scholten | Physician Assistant | 9601 Townline Rd, Minocqua, WI 54548 | 2006-08-31 |
| Find all providers in MINOCQUA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.