ALEXIS MACIEJ


Address: 424 Haravard St Se, Suite M100 Masonic Cancet Center, University of Minnesota Physicians, Minneapolis, MN 55455
Phone: 6126255411

ALEXIS MACIEJ (NPI# 1902988421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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

Office Location

Street Address 424 HARAVARD ST SE, SUITE M100 MASONIC CANCET CENTER
UNIVERSITY OF MINNESOTA PHYSICIANS
City MINNEAPOLIS
State MN
Zip Code 55455

Providers in the same zip code

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 Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City MINNEAPOLIS
Zip Code 55455

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Dataset Information

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.

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