DR. ALEXANDER NICHOLAS KENYON-JOHNSON DO
NPI 1659020444
Family Medicine in Minneapolis, MN

Active since March 21, 2022PECOS EnrolledAccepts Medicare Assignment
3033 EXCELSIOR BLVD STE 275, MINNEAPOLIS, MN 55416(612) 827-4751 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Alexander Nicholas Kenyon-johnson Do NPPES

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

DR. ALEXANDER NICHOLAS KENYON-JOHNSON DO (NPI 1659020444) is an individual family medicine provider in Minneapolis, Minnesota, licensed in Minnesota (76994) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2022).

NPPES Registry Identity

NPI1659020444
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ALEXANDER NICHOLAS KENYON-JOHNSONCredential: DO
Location Address3033 EXCELSIOR BLVD STE 275Minneapolis, MN 55416-5149
Mailing Address1700 University Ave W Fl 6Saint Paul, MN 55104-3727
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2022
Enumeration DateMarch 21, 2022
Last NPPES UpdateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
NPI 1659020444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 76994
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3033 EXCELSIOR BLVD STE 275, Minneapolis, MN 55416

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

Dr. Alexander Nicholas Kenyon-johnson Do 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 ID7214315381
PECOS Enrollment IDI20250819002247
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

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

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 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 4

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

Pharmacist
3033 EXCELSIOR BLVD STE 275
MINNEAPOLIS, MN 55416
Family Medicine
3033 EXCELSIOR BLVD STE 275
MINNEAPOLIS, MN 55416
Pharmacist (Pharmacotherapy)
3033 EXCELSIOR BLVD STE 275
MINNEAPOLIS, MN 55416
Pharmacy Technician
3033 EXCELSIOR BLVD STE 275
MINNEAPOLIS, MN 55416

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 Alexander Kenyon-johnson's NPI number?

The NPI number for Alexander Kenyon-johnson is 1659020444. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Where is Alexander Kenyon-johnson located?

Alexander Kenyon-johnson practices at 3033 Excelsior Blvd Ste 275, Minneapolis, MN 55416. The listed phone number is (612) 827-4751.

What is Alexander Kenyon-johnson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Alexander Kenyon-johnson enrolled in Medicare?

Yes. Alexander Kenyon-johnson 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 Alexander Kenyon-johnson affiliated with any hospitals?

According to CMS data, Alexander Kenyon-johnson is affiliated with M Health Fairview Southdale Hospital.

When was this NPI record last updated?

The NPPES record for Alexander Kenyon-johnson was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.