Alyssa Warden, DO
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Robbinsdale, MN
NPI 1003475005 · NPPES record last updated Aug 25, 2023
Key facts
- NPI
- 1003475005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 74041 (MN)
- Practice address
- 3300 Oakdale Ave N
Robbinsdale, MN 55422 - Phone
- (763) 520-5200
- NPI assigned
- Jun 12, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physical Medicine and Rehabilitation
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Memorial Health Care
Practice addresses (Care Compare)
3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 581-5400
3366 Oakdale Ave N
Suite 200
Robbinsdale, MN 55422-2962
Phone (763) 520-5200
Hospital & facility affiliations
- North Memorial Health Hospital
- North Memorial Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230706001305 | MN | Practitioner - Physical Medicine and Rehabilitation | 0941539811 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8221851 | WI | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Memorial Health Care | Current |
Accepting new patients | |
| North Memorial Health Care | Current |
Accepting new patients | |
| North Memorial Health Care | Current | Accepting new patients | |
| North Memorial Health Care | Past | Accepting new patients |
Locations
3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048
3366 Oakdale Ave N
Ste 200
Robbinsdale, MN 55422
Phone (763) 287-5000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 76475-21 | WI | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 74041 | MN | Yes |
| Physical Medicine & Rehabilitation Physician | 208100000X | 8221851 | WI |
Addresses
Primary practice location
3300 Oakdale Ave N
Robbinsdale, MN 55422
Mailing address
3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5200
Other names
- Alyssa Breitbach
Other providers in Robbinsdale, MN
- Mudasir Walji
- Bryan J Walker
- Wendy E Wallskog
- Caitlin Bennett Ward
- Emilie Ward
- Chelsea Christine Webb
- Benjamin Weeres
- Alexis Wendlandt
- West Imaging, LLC
- West Metro Therapy, LLC
All providers in Robbinsdale, MN · Physical Medicine & Rehabilitation Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.