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ALYCIA R MIDAS MD
NPI 1770164071
Pediatrics in Maple Grove, MN

Active since April 19, 2021PECOS Enrolled
12000 ELM CREEK BLVD N STE 250, MAPLE GROVE, MN 55369(952) 401-8300(952) 401-8242 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 18, 2024, Apr 19, 2021 (2 updates tracked since 2021).

About Alycia R Midas Md NPPES

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

ALYCIA R MIDAS MD (NPI 1770164071) is an individual pediatrics provider in Maple Grove, Minnesota, licensed in Minnesota (76573) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770164071
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameALYCIA R MIDASCredential: MD
Location Address12000 ELM CREEK BLVD N STE 250Maple Grove, MN 55369-7164
Mailing Address17705 Hutchins Dr Ste 250Minnetonka, MN 55345-4103 · (952) 401-8300 · Fax (952) 401-8242
Phone(952) 401-8300
Fax(952) 401-8242
Sole ProprietorYes
Enumeration DateApril 19, 2021
Last NPPES UpdateJuly 18, 20242 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
✔ NPI 1770164071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 76573
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
12000 ELM CREEK BLVD N STE 250, Maple Grove, MN 55369
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Other Names 1

Former Name (1)Alycia R Chmielewski Md

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alycia R Midas Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Alycia Midas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Lake Clinic, P.A.
13 mi
Pediatrics
17705 HUTCHINS DR, SUITE 101
Minnetonka, MN 55345
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: South Lake Clinic PA
  • 28 clinicians in this Medicare group
NPI 1427027184 (952) 401-8300

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 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
$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.

KARA ANN ENGEBRETSON LICSW
Social Worker (Clinical)
12000 ELM CREEK BLVD N STE 250
MAPLE GROVE, MN 55369
Hennepin County (952) 401-8300
MICHAEL BENJAMIN MAGALNICK D.O.
Pediatrics
12000 ELM CREEK BLVD N STE 250
MAPLE GROVE, MN 55369
Hennepin County (952) 401-8300
ELISABETH GILEAD
Nurse Practitioner (Pediatrics)
12000 ELM CREEK BLVD N STE 250
MAPLE GROVE, MN 55369
Hennepin County (952) 401-8300
SOUTH LAKE CLINIC, PA
Pediatrics
12000 ELM CREEK BLVD N STE 250
MAPLE GROVE, MN 55369
Hennepin County (952) 401-8300

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 Alycia Midas's NPI number?

The NPI number for Alycia Midas is 1770164071. It was assigned to this individual provider in the NPPES registry on April 19, 2021. The provider is also known as Alycia R Chmielewski MD.

Where is Alycia Midas located?

Alycia Midas practices at 12000 Elm Creek Blvd N Ste 250, Maple Grove, MN 55369. The listed phone number is (952) 401-8300.

What is Alycia Midas's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Alycia Midas enrolled in Medicare?

Yes. Alycia Midas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alycia Midas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alycia Midas reassigns Medicare benefits to South Lake Clinic, P.A. (Minnetonka, MN). The 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 Alycia Midas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alycia Midas accept?

Health plans from HealthPartners list Alycia Midas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alycia Midas was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.