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ALEXANDRA NICOLE KOES PA-C
NPI 1417503558
Physician Assistant in Maple Grove, MN

Active since August 14, 2019PECOS EnrolledAccepts Medicare Assignment
9645 GROVE CIR N STE 250, MAPLE GROVE, MN 55369(763) 201-8191 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 2, 2021, Mar 1, 2021, Aug 14, 2019 (3 updates tracked since 2019).

About Alexandra Nicole Koes Pa-c NPPES

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

ALEXANDRA NICOLE KOES PA-C (NPI 1417503558) is an individual physician assistant in Maple Grove, Minnesota, licensed in Minnesota (13496) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2020).

NPPES Registry Identity

NPI1417503558
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALEXANDRA NICOLE KOESCredential: PA-C
Location Address9645 GROVE CIR N STE 250Maple Grove, MN 55369-2683
Mailing Address9645 Grove Cir N Ste 200Maple Grove, MN 55369-2684 · (763) 201-8191
Phone(763) 201-8191
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2020
Enumeration DateAugust 14, 2019
Last NPPES UpdateApril 2, 20213 updates tracked since enumeration
NPPES CertifiedApril 2, 2021
✔ NPI 1417503558 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 · 13496
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.
9645 GROVE CIR N STE 250, Maple Grove, MN 55369
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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

Alexandra Nicole Koes 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 ID6709293236
PECOS Enrollment IDI20210330002152
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 8

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
292 services139 patients
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.
122 services91 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
118 services75 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0482
A definitive drug test identifies specific drugs in your system. Advanced methods like GC/MS (Gas Chromatography/Mass Spectrometry) and LC/MS (Liquid Chromatography/Mass Spectrometry) are used. These can distinguish between similar drugs, providing precise results.
69 services43 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
27 services21 patients
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes G0396
This service involves a structured evaluation of your alcohol or substance use habits. It identifies potential issues and provides brief counseling to help modify harmful behaviors. It's a short, 15-30 minute process, focused on promoting healthier choices.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

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
$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 4

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

ANESTHESIA ASSOCIATES, PLLC
Specialist
9645 GROVE CIR N STE 250
MAPLE GROVE, MN 55369
Hennepin County (763) 201-8191
METROPOLITAN SURGICAL CENTER, LLC
Clinic/Center (Ambulatory Surgical)
9645 GROVE CIR N STE 250
MAPLE GROVE, MN 55369
Hennepin County (763) 201-8191
JEFFREY MERRIAM CRNA
Nurse Anesthetist, Certified Registered
9645 GROVE CIR N STE 250
MAPLE GROVE, MN 55369
Hennepin County (763) 201-8191
GREGORY S MELLESMOEN CRNA
Nurse Anesthetist, Certified Registered
9645 GROVE CIR N STE 250
MAPLE GROVE, MN 55369
Hennepin County (763) 201-8191

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 Alexandra Koes's NPI number?

The NPI number for Alexandra Koes is 1417503558. It was assigned to this individual provider in the NPPES registry on August 14, 2019.

Where is Alexandra Koes located?

Alexandra Koes practices at 9645 Grove Cir N Ste 250, Maple Grove, MN 55369. The listed phone number is (763) 201-8191.

What is Alexandra Koes's specialty?

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

Is Alexandra Koes enrolled in Medicare?

Yes. Alexandra Koes 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.

Is Alexandra Koes affiliated with any hospitals?

According to CMS data, Alexandra Koes is affiliated with Abbott Northwestern Hospital.

When was this NPI record last updated?

The NPPES record for Alexandra Koes was last updated on April 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.