ALEXIS RUPP
NPI 1073065538
Nurse Anesthetist, Certified Registered in Minneapolis, MN

Q: What is Alexis Rupp's NPI number?

The NPI number for Alexis Rupp is 1073065538. It was assigned to this individual provider in the NPPES registry on November 1, 2016.

Q: What is Alexis Rupp's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Alexis Rupp was last updated on December 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 01, 2016Accepts Medicare Assignment

2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 365-1000 Get Directions Write a Review

NPPES record last updated: December 11, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Alexis Rupp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXIS RUPP (NPI 1073065538) is an individual nurse anesthetist, certified registered in Minneapolis, Minnesota, licensed in Minnesota (CRNA 1993) and active in the NPI registry since November 2016. She is affiliated with M Health Fairview University Of Mn and is a graduate of Other (2016).

NPPES Registry Identity

NPI1073065538

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameALEXIS RUPP

Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450

Mailing Address16322 25th St SLakeland, MN 55043-9732 · (651) 329-1435

Phone(612) 365-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateNovember 1, 2016

Last NPPES UpdateDecember 11, 2016

✔ NPI 1073065538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in MN · CRNA 1993

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License RN 18159-9 (MN)

2450 RIVERSIDE AVE, Minneapolis, MN 55454

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexis Rupp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678854965

PECOS Enrollment IDI20161228001200

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240080

Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE IRENE GRAY

Rehabilitation Practitioner