ALYSON N NIEBUR PA-C
NPI 1881379105
Physician Assistant in Coon Rapids, MN

Q: What is Alyson Niebur's NPI number?

The NPI number for Alyson Niebur is 1881379105. It was assigned to this individual provider in the NPPES registry on June 15, 2023.

Q: What is Alyson Niebur'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 Alyson Niebur 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 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.

Active since June 15, 2023PECOS EnrolledAccepts Medicare Assignment

11850 BLACKFOOT ST NW STE 130, COON RAPIDS, MN 55433(763) 236-9000(763) 236-9010 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2025, Sep 3, 2025, Jun 15, 2023 (3 updates tracked since 2023).

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About Alyson N Niebur Pa-c NPPES

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

ALYSON N NIEBUR PA-C (NPI 1881379105) is an individual physician assistant in Coon Rapids, Minnesota, licensed in Minnesota (15365) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital, and maintains a secondary practice location in Coon Rapids.

NPPES Registry Identity

NPI1881379105

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameALYSON N NIEBURCredential: PA-C

Location Address11850 BLACKFOOT ST NW STE 130Coon Rapids, MN 55433-2583

Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000

Phone(763) 236-9000

Fax(763) 236-9010

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJune 15, 2023

Last NPPES UpdateOctober 10, 20253 updates tracked since enumeration

NPPES CertifiedOctober 10, 2025

✔ NPI 1881379105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MN · 15365

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

11850 BLACKFOOT ST NW STE 130, Coon Rapids, MN 55433

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Secondary Practice Location 1

Location 14050 Coon Rapids Blvd NWCoon Rapids, MN 55433-2522 · Phone (763) 236-6000

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

Alyson N Niebur Pa-c 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 ID7810490976

PECOS Enrollment IDI20250912004004

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.

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240115

Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County

Emergency services Birthing friendly

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.

Other Providers at the Same Location NPPES 19

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

SABRINA JIA TANG PA

Physician Assistant