ALEXANDRA MACK
NPI 1821546904
Nurse Practitioner in Saint Paul, MN

Q: What is Alexandra Mack's NPI number?

The NPI number for Alexandra Mack is 1821546904. It was assigned to this individual provider in the NPPES registry on September 16, 2016.

Q: What is Alexandra Mack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Alexandra Mack was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 16, 2016PECOS EnrolledAccepts Medicare Assignment

640 JACKSON ST, SAINT PAUL, MN 55101(651) 254-4887 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 23, 2023, Nov 29, 2022, Sep 22, 2016 and 1 more (4 updates tracked since 2016).

On this page

About Alexandra Mack NPPES

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

ALEXANDRA MACK (NPI 1821546904) is an individual nurse practitioner in Saint Paul, Minnesota, licensed in Minnesota (9691) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1821546904

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameALEXANDRA MACK

Location Address640 JACKSON STSaint Paul, MN 55101-2502

Mailing Address8170 33rd Ave S # Ms 21110qMinneapolis, MN 55425-4516

Phone(651) 254-4887

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 16, 2016

Last NPPES UpdateMarch 23, 20234 updates tracked since enumeration

NPPES CertifiedMarch 23, 2023

✔ NPI 1821546904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MN · 9691

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

640 JACKSON ST, Saint Paul, MN 55101

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Security Health Plan.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

Alexandra Mack 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 ID9436439940

PECOS Enrollment IDI20221119000386, I20240501000569

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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

58 services50 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

47 services32 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

43 services39 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

23 services21 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

22 services20 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Lakeview Memorial Hospital

Acute Care Hospitals · Stillwater, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number240066

Location927 West Churchill StreetStillwater, MN 55082 · Washington County

Emergency services Birthing friendly

Regions Hospital

Acute Care Hospitals · Saint Paul, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240106

Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County

Emergency services Birthing friendly

Westfields Hospital And Clinic

Critical Access Hospitals · New Richmond, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521345

Location535 Hospital RdNew Richmond, WI 54017 · St. Croix County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 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 20

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

WOJCIECH KRASZKIEWICZ M.D.

Internal Medicine