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MAISA ALVES PEBBLES CNP
NPI 1336117480
Nurse Practitioner in Maple Grove, MN

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
9855 HOSPITAL DR STE 102A, MAPLE GROVE, MN 55369(763) 581-9220(763) 581-9221 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2025, Aug 2, 2024 (2 updates tracked since 2024).

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

NPI1336117480
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMAISA ALVES PEBBLESCredential: CNP
Location Address9855 HOSPITAL DR STE 102AMaple Grove, MN 55369-4648
Mailing Address3300 Oakdale Ave NRobbinsdale, MN 55422-2926
Phone(763) 581-9220
Fax(763) 581-9221
Sole ProprietorYes
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2004
Enumeration DateMarch 14, 2006
Last NPPES UpdateJanuary 10, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
✔ NPI 1336117480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MN · 575
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
9855 HOSPITAL DR STE 102A, Maple Grove, MN 55369
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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

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.

PECOS PAC ID9335164631
PECOS Enrollment IDI20051005001161
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services15 patients

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.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
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

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

GEORGE ONYANGO PA-C
Physician Assistant
9855 HOSPITAL DR STE 102A
MAPLE GROVE, MN 55369
Hennepin County (763) 581-9220

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.

What insurance does Maisa Pebbles accept?

Health plans from Medica list Maisa Pebbles as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 18 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.