ALEXA ANGELICA MINC MD
NPI 1295319341
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since May 05, 2021PECOS Enrolled
4260 PLYMOUTH RD, ANN ARBOR, MI 48109(734) 647-5680 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Alexa Angelica Minc Md NPPES

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

ALEXA ANGELICA MINC MD (NPI 1295319341) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4351047419) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295319341
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALEXA ANGELICA MINCCredential: MD
Location Address4260 PLYMOUTH RDAnn Arbor, MI 48109-2700
Mailing Address1500 E Medical Center DrAnn Arbor, MI 48109-5000
Sole ProprietorNo
Enumeration DateMay 5, 2021
NPPES CertifiedMay 5, 2021
NPI 1295319341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MI · 4351047419
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4260 PLYMOUTH RD, Ann Arbor, MI 48109

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Alexa Angelica Minc Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Nurse Practitioner
4260 PLYMOUTH RD
ANN ARBOR, MI 48109
Internal Medicine (Geriatric Medicine)
4260 PLYMOUTH RD
ANN ARBOR, MI 48109
Pediatrics
4260 PLYMOUTH RD
ANN ARBOR, MI 48109
Nurse Practitioner
4260 PLYMOUTH RD
ANN ARBOR, MI 48109
Internal Medicine (Geriatric Medicine)
4260 PLYMOUTH RD
ANN ARBOR, MI 48109
Internal Medicine
4260 PLYMOUTH RD
ANN ARBOR, MI 48109
Internal Medicine
4260 PLYMOUTH RD
ANN ARBOR, MI 48109
Advanced Practice Midwife
4260 PLYMOUTH RD
ANN ARBOR, MI 48109

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295319341, enumerated as an "individual" on May 05, 2021.

The provider is located at 4260 PLYMOUTH RD ANN ARBOR, MI 48109 and the phone number is (734) 647-5680.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.