MAISA ALVES PEBBLES CNP
NPI 1336117480
Nurse Practitioner in Maple Grove, MN
About Maisa Alves Pebbles Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAISA ALVES PEBBLES CNP (NPI 1336117480) is an individual nurse practitioner in Maple Grove, Minnesota, licensed in Minnesota (575) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (2004).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Maisa Alves Pebbles Cnp 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.
Medicare Billing Reassignments
5Medicare enrollment records show Maisa Pebbles reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Maple Grove, MN 55369
- Reassigned Medicare billing, Minnesota enrollment
- 540 clinicians in this Medicare group
Maple Grove, MN 55369
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 clinicians in this Medicare group
Maple Grove, MN 55369
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Bluefield, VA 24605
- Reassigned Medicare billing, Virginia enrollment
- 156 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55369 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Maisa Pebbles's NPI number?
The NPI number for Maisa Pebbles is 1336117480. It was assigned to this individual provider in the NPPES registry on March 14, 2006.
Where is Maisa Pebbles located?
Maisa Pebbles practices at 9855 Hospital Dr Ste 102A, Maple Grove, MN 55369. The listed phone number is (763) 581-9220.
What is Maisa Pebbles's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Maisa Pebbles enrolled in Medicare?
Yes. Maisa Pebbles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Maisa Pebbles's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maisa Pebbles reassigns Medicare benefits to 5 organizations: North Memorial Health Care (Maple Grove, MN), Fairview Clinics (Maple Grove, MN), Fairview Express Care (Maple Grove, MN), Fairview Health Services (Minneapolis, MN) and Medexpress Urgent Care, PC - Virginia (Bluefield, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maisa Pebbles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Maisa Pebbles was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Maisa Alves Pebbles, CNP · NPI 1336117480
Nurse Practitioner physician in Maple Grove, Minnesota. Individual provider, active in the CMS NPPES registry since March 14, 2006.
## Identity
- **NPI:** 1336117480 (Entity type: Individual)
- **Enumerated:** March 14, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 575 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9855 HOSPITAL DR STE 102A, Maple Grove, MN 55369-4648
- **Phone:** (763) 581-9220 · **Fax:** (763) 581-9221
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): North Memorial Health Care (NPI 1285648295, Maple Grove, MN); Fairview Clinics (NPI 1841315165, Maple Grove, MN); Fairview Express Care (NPI 1255105011, Maple Grove, MN); Fairview Health Services (NPI 1013994359, Minneapolis, MN); Medexpress Urgent Care, PC - Virginia (NPI 1215219878, Bluefield, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2004
## Record status
- **NPPES last updated:** January 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1336117480) · Data from the CMS NPPES public registry.