Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALEXA BOERSEN PA-C
NPI 1568820199
Physician Assistant - Surgical in Minocqua, WI

Q: What is Alexa Boersen's NPI number?

The NPI number for Alexa Boersen is 1568820199. It was assigned to this individual provider in the NPPES registry on February 10, 2016.

Q: What is Alexa Boersen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Alexa Boersen was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since February 10, 2016PECOS Enrolled

100/100

CMS Quality Rating

9576 HWY 70, MINOCQUA, WI 54548(715) 358-1000 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 18, 2026, Jun 1, 2026, May 29, 2026 and 4 more (7 updates tracked since 2016).

On this page

About Alexa Boersen Pa-c NPPES

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

ALEXA BOERSEN PA-C (NPI 1568820199) is an individual surgical provider in Minocqua, Wisconsin, licensed in Wisconsin (4631) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Minocqua, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1568820199

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameALEXA BOERSENCredential: PA-C

Location Address9576 HWY 70Minocqua, WI 54548-9067

Mailing Address833 Michigan St Ne Bldg 102Grand Rapids, MI 49503-2578 · (616) 459-8209

Phone(715) 358-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateFebruary 10, 2016

Last NPPES UpdateAugust 18, 20267 updates tracked since enumeration

NPPES CertifiedAugust 18, 2026

✔ NPI 1568820199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in WI · 4631

Also ListedPhysician AssistantTaxonomy 363A00000X · License 4631 (WI), 5601007612 (MI)

9576 HWY 70, Minocqua, WI 54548

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1833 Michigan St NE Bldg 102Grand Rapids, MI 49503-2578 · Phone (616) 459-8209

Location 29601 Townline RdMinocqua, WI 54548-9099 · Phone (715) 358-1255

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.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

Alexa Boersen 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 ID4789980525

PECOS Enrollment IDI20190409001377

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.

Hospital Affiliations CMS Care Compare 2

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

Marshfield Medical Center - Minocqua

Acute Care Hospitals · Minocqua, WI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520212

Location9576 Highway 70Minocqua, WI 54548 · Oneida County

Emergency services Birthing friendly

Flambeau Hospital

Critical Access Hospitals · Park Falls, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521325

Location98 Sherry AvePark Falls, WI 54552 · Price County

Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

95.25

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories A6550

DME-Other DME · category DE000N

2 suppliers12 claims105 services$22.44 avg. paid by Medicare

Canister, disposable, used with suction pump, each A7000

DME-Other DME · category DE000N

2 suppliers11 claims100 services$7.29 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$18.75 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LINDSEY SIPPL AGPCNP-BC

Nurse Practitioner (Gerontology)