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ALYSSA ANN PYBURN PA-C
NPI 1407619612
Physician Assistant in Minneapolis, MN

Active since January 31, 2024PECOS EnrolledAccepts Medicare Assignment
913 E 26TH ST STE 402, MINNEAPOLIS, MN 55404(612) 863-3150(612) 262-0997 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alyssa Ann Pyburn Pa-c NPPES

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

ALYSSA ANN PYBURN PA-C (NPI 1407619612) is an individual physician assistant in Minneapolis, Minnesota, licensed in Minnesota (14810) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1407619612
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALYSSA ANN PYBURNCredential: PA-C
Location Address913 E 26TH ST STE 402Minneapolis, MN 55404-4515
Mailing AddressPo Box 43Minneapolis, MN 55440-0043 · (612) 863-3150
Phone(612) 863-3150
Fax(612) 262-0997
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 31, 2024
Last NPPES UpdateJune 11, 2026
NPPES CertifiedJune 11, 2026
✔ NPI 1407619612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 14810
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
913 E 26TH ST STE 402, Minneapolis, MN 55404
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Secondary Practice Location 1

Location 11200 Lagoon AveMinneapolis, MN 55408-2077 · Phone (612) 823-6300

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan.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

Alyssa Ann Pyburn Pa-c 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 ID7810338399
PECOS Enrollment IDI20240515001401
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55404 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
$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 2

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

DR. MARY E COLBERT MD
Surgery
913 E 26TH ST STE 402
MINNEAPOLIS, MN 55404
Hennepin County (612) 863-3150
CYNTHIA PETERS MILLER LAC
Acupuncturist
913 E 26TH ST STE 402
MINNEAPOLIS, MN 55404
Hennepin County (612) 845-6212

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 Alyssa Pyburn's NPI number?

The NPI number for Alyssa Pyburn is 1407619612. It was assigned to this individual provider in the NPPES registry on January 31, 2024.

Where is Alyssa Pyburn located?

Alyssa Pyburn practices at 913 E 26th St Ste 402, Minneapolis, MN 55404. The listed phone number is (612) 863-3150.

What is Alyssa Pyburn's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alyssa Pyburn enrolled in Medicare?

Yes. Alyssa Pyburn 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 Alyssa Pyburn accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Alyssa Pyburn 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 Alyssa Pyburn was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.