ALEXANDRA ROSE LAUDERDALE
NPI 1639998552
Nurse Practitioner - Neonatal in Minneapolis, MN
About Alexandra Rose Lauderdale NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXANDRA ROSE LAUDERDALE (NPI 1639998552) is an individual neonatal provider in Minneapolis, Minnesota, licensed in Minnesota (12263) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Maplewood.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alexandra Rose Lauderdale is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Alexandra Lauderdale reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 1,178 clinicians in this Medicare group
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 955 clinicians in this Medicare group
Maple Grove, MN 55369
- Reassigned Medicare billing, Minnesota enrollment
- 226 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55454 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
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 Lauderdale's NPI number?
The NPI number for Alexandra Lauderdale is 1639998552. It was assigned to this individual provider in the NPPES registry on October 8, 2024.
Where is Alexandra Lauderdale located?
Alexandra Lauderdale practices at 2450 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (612) 624-0720.
What is Alexandra Lauderdale's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.
Is Alexandra Lauderdale enrolled in Medicare?
Yes. Alexandra Lauderdale is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Alexandra Lauderdale's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Lauderdale reassigns Medicare benefits to 6 organizations: Fairview Health Services (Minneapolis, MN), Fairview Express Care (Minneapolis, MN), Healtheast Medical Research Institute (Saint Paul, MN), Healtheast St. John's Hospital (Saint Paul, MN), Healtheast Woodwinds Hospital (Woodbury, MN) and 1 more organization, listed in the Medicare section above. 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 Alexandra Lauderdale'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 Alexandra Lauderdale was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Alexandra Rose Lauderdale · NPI 1639998552
Neonatal physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since October 8, 2024.
## Identity
- **NPI:** 1639998552 (Entity type: Individual)
- **Enumerated:** October 8, 2024
- **Primary specialty:** Nurse Practitioner - Neonatal · taxonomy 363LN0000X
- **State license:** 12263 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2450 RIVERSIDE AVE, Minneapolis, MN 55454-1450
- **Phone:** (612) 624-0720
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Fairview Health Services (NPI 1013994359, Minneapolis, MN); Fairview Express Care (NPI 1841428745, Minneapolis, MN); Healtheast Medical Research Institute (NPI 1508191552, Saint Paul, MN); Healtheast St. John's Hospital (NPI 1558240853, Saint Paul, MN); Healtheast Woodwinds Hospital (NPI 1356309322, Woodbury, MN); and 1 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639998552) · Data from the CMS NPPES public registry.