Individual provider Active NPI

Alessandra Pantano Orthey, PA

  • Physician Assistant
  • Saint Paul, MN
National Provider Identifier
1083296123
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14256 Issued in MN
Practice address
1026 7TH St W
Saint Paul, MN 55102-3828
Phone
(651) 758-9500
NPI assigned
Apr 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA62623 CA
Physician Assistant 363A00000X 14256 MN Primary

Addresses

Primary practice location

1026 7TH St W
Saint Paul, MN 55102-3828

Mailing address

4325 Chowen Ave S Unit 1
Minneapolis, MN 55410-1303
Phone (612) 600-8761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240223001052 MN Practitioner - Physician Assistant 7113360082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Family Practice Health CenterGroup PAC ID 0042109258, 19 clinicians

Practice addresses (Care Compare)

1026 7TH St W
Saint Paul, MN 55102-3828
Phone (651) 758-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA62623CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Side Community Health Services, Inc. CurrentSince Jan 10, 2024 Accepting new patients
West Side Community Health Services, Inc. CurrentSince Jan 10, 2024 Accepting new patients
United Family Practice Health Center CurrentSince Aug 5, 2024 Accepting new patients

Locations

1026 7th St W
Saint Paul, MN 55102
Phone (651) 241-1000

380 E Lafayette Frontage Rd
Ste 200
Saint Paul, MN 55107
Phone (651) 602-7552

153 Cesar Chavez St
West Saint Paul, MN 55107
Phone (651) 222-1816

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1083296123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 CHOWEN AVE S UNIT 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101303",
            "telephone_number": "612-600-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 7TH ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551023828",
            "telephone_number": "651-758-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTHEY",
        "first_name": "ALESSANDRA",
        "middle_name": "PANTANO",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA62623",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "14256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.