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ALEXIS RUPP MACIEJ PNP NPI 1902988421


NPI Information

NPI: 1902988421
Provider Name: ALEXIS RUPP MACIEJ, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
2450 RIVERSIDE AVE
MINNEAPOLIS, MN
ZIP 55454
Phone: (612) 672-6000
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Alexis Rupp Maciej, PNP is a pediatrics nurse practitioner in Minneapolis, MN. Alexis Rupp Maciej, PNP NPI is 1902988421. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2450 RIVERSIDE AVE
MINNEAPOLIS, MN
ZIP 55454-450
Phone: (612) 672-6000

The NPI 1902988421 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 11/28/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0200XNurse PractitionerPediatricsR 146818-8MINNESOTANo
2363LP0200XNurse PractitionerPediatrics1138MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10599746MEDICAIDIOWA
22393329OTHERARAZ
3135386OTHERUCARE
441270300MEDICAIDWISCONSIN
5B675OTHERTRICARE/TRIWEST
61046051OTHERPREFERREDONE
712-09026OTHERMEDICAID PRIMARY
8994940200MEDICAIDMINNESOTA
912-03425OTHERMEDICA - CHOICE
104306627MEDICAIDMONTANA
11HP56959OTHERMINNESOTAHEALTHPARTNERS
12631T4MAOTHERMINNESOTABLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.