ALEXIS MACIEJ (NPI# 1902988421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902988421 |
Entity Type | Individual |
Full Name | ALEXIS MACIEJ |
Credential | PNP |
Practice Address |
424 Haravard St Se, Suite M100 Masonic Cancet Center University of Minnesota Physicians Minneapolis MN 55455 |
Mailing Address |
420 Delaware Street Se Mmc 484 University of Minnesota Physicians Minneapolis MN 55455 |
Practice Telephone | 6126255411 |
Mailing Telephone | 6126255411 |
Enumeration Date | 2006-10-20 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R 146818-8 | MN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | HEALTHPARTNERS | HP56959 | 01 |
UCARE | 135386 | 01 | |
WI | 41270300 | 05 | |
MEDICAID PRIMARY | 12-09026 | 01 | |
MT | 4306627 | 05 | |
MN | 994940200 | 05 | |
IA | 0599746 | 05 | |
PREFERREDONE | 1046051 | 01 | |
MEDICA - CHOICE | 12-03425 | 01 | |
MN | BLUE CROSS BLUE SHIELD | 631T4MA | 01 |
ARAZ | 2393329 | 01 | |
TRICARE/TRIWEST | B675 | 01 |
Street Address |
424 HARAVARD ST SE, SUITE M100 MASONIC CANCET CENTER UNIVERSITY OF MINNESOTA PHYSICIANS |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55455 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
Find all providers in zip 55455 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720407497 | Halley Gail Sage | Nurse Practitioner | 2525 Chicago Ave S., Minneapolis, MN 55404 | 2014-04-10 |
1457509523 | Rebecca Olson | Nurse Practitioner | 2525 Chicago Avenue, Minneapolis, MN 55404-4518 | 2008-09-03 |
1912108341 | Nancy Novakoske Hoogenhous | Nurse Practitioner | 200 Oak St Se, Ste 160, Minneapolis, MN 55455-2009 | 2007-05-31 |
1669568176 | Jill Lunsford Lee | Nurse Practitioner | 420 Delaware St., Mmc 484, Minneapolis, MN 55455 | 2006-10-04 |
1477561991 | Mary Jordan | Nurse Practitioner | 2001 Bloomington Avenue S, Community-university Health Care Center, Minneapolis, MN 55404-3074 | 2006-08-03 |
1457327686 | Judith A Kralewski | Nurse Practitioner | 250 S 4th St, Room 510, Minneapolis, MN 55415-1335 | 2006-02-27 |
1689644908 | Tambra R Dahlheimer | Nurse Practitioner | 2450 Riverside Ave Se, East Building Journey Clinic 9e, Minneapolis, MN 55454 | 2006-01-26 |
1881207462 | Brianna Marie Gloe | Nurse Practitioner | 2530 Chicago Ave Ste 550, Minneapolis, MN 55404-4293 | 2020-08-25 |
1447861067 | Charlotte Minnema | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-08-17 |
1760027007 | Jennifer Bloom | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2019-11-11 |
Find all providers in MINNEAPOLIS |
City | MINNEAPOLIS |
Zip Code | 55455 |
Please comment or provide details below to improve the information on ALEXIS MACIEJ.
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.