ALEXANDRA NICOLE LOTHE PA-C
NPI 1689216624
Physician Assistant in Coon Rapids, MN

Q: What is Alexandra Lothe's NPI number?

The NPI number for Alexandra Lothe is 1689216624. It was assigned to this individual provider in the NPPES registry on October 10, 2019.

Q: What is Alexandra Lothe's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alexandra Lothe was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 10, 2019PECOS Enrolled

83.53/100

CMS Quality Rating

4040 COON RAPIDS BLVD NW STE 120, COON RAPIDS, MN 55433(763) 427-9980(763) 427-0904 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 25, 2021, Jun 17, 2021, Oct 10, 2019 (3 updates tracked since 2019).

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About Alexandra Nicole Lothe Pa-c NPPES

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

ALEXANDRA NICOLE LOTHE PA-C (NPI 1689216624) is an individual physician assistant in Coon Rapids, Minnesota and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689216624

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameALEXANDRA NICOLE LOTHECredential: PA-C

Location Address4040 COON RAPIDS BLVD NW STE 120Coon Rapids, MN 55433-4568

Mailing Address616 Summit Ave Apt 301Saint Paul, MN 55102-2669 · (402) 679-7401

Phone(763) 427-9980

Fax(763) 427-0904

Sole ProprietorNo

Enumeration DateOctober 10, 2019

Last NPPES UpdateAugust 25, 20213 updates tracked since enumeration

NPPES CertifiedJune 17, 2021

✔ NPI 1689216624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

4040 COON RAPIDS BLVD NW STE 120, Coon Rapids, MN 55433

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra Nicole Lothe Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 55433 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.

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.

83.53/100

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

Scored as part of a group practice

Quality

81.79

Promoting Interoperability

100

Improvement Activities

Cost

63.31

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.

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