Individual provider Active NPI

Alanna Marie Wallerstein, AU.D.

  • Audiologist
  • Maplewood, MN
National Provider Identifier
1245846542
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
10303 Issued in MN
Practice address
2945 Hazelwood St Ste 200
Maplewood, MN 55109-1243
Phone
(651) 232-0707
Fax
(651) 326-9462
NPI assigned
Sep 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 10303 MN Primary

Addresses

Primary practice location

2945 Hazelwood St Ste 200
Maplewood, MN 55109-1243

Mailing address

2945 Hazelwood St Ste 200
Maplewood, MN 55109-1243
Phone (651) 232-0707

Other practice location 1

5200 Fairview Blvd
Wyoming, MN 55092-8013
Phone (651) 982-7650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201007000251 MN Practitioner - Qualified Audiologist 1254750458 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

909 Fulton St SE
Minneapolis, MN 55455-4800
Phone (612) 672-7422

Merit-based Incentive Payment System (MIPS)

Final score
92.68 of 100Reported as group
Quality
89.73
Promoting interoperability
100
Improvement activities
40
Cost
80.99

Merit-based Incentive Payment System (MIPS)

Final score
92.66 of 100Reported as group
Quality
79.17
Promoting interoperability
100
Improvement activities
40
Cost
73.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Clinics Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Clinics CurrentSince Nov 1, 2020 Accepting new patients
Fairview Express Care CurrentSince Dec 8, 2020 Accepting new patients
Fairview Clinics CurrentSince Nov 1, 2020 Accepting new patients
Fairview Express Care Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Jan 1, 2022 Accepting new patients
Fairview Express Care CurrentSince Dec 8, 2020 Accepting new patients
Healtheast Medical Research Institute CurrentSince Jan 1, 2022 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Health Services Past Accepting new patients

Locations

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

2945 Hazelwood St
Ste 320
Maplewood, MN 55109
Phone (612) 273-1172

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203

6341 University Ave NE
Minneapolis, MN 55432
Phone (763) 427-9980

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

2945 Hazelwood St
Ste 200
Saint Paul, MN 55109
Phone (612) 440-6315

1390 University Ave W
Saint Paul, MN 55104
Phone (651) 232-4800

2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800

1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

5200 Fairview Blvd
Wyoming, MN 55092
Phone (651) 464-4611

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1245846542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 HAZELWOOD ST STE 200",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091243",
            "telephone_number": "651-232-0707",
            "fax_number": "651-326-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 HAZELWOOD ST STE 200",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091243",
            "telephone_number": "651-232-0707",
            "fax_number": "651-326-9462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 Fairview Blvd",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "MN",
            "postal_code": "550928013",
            "country_code": "US",
            "telephone_number": "651-982-7650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLERSTEIN",
        "first_name": "ALANNA",
        "middle_name": "MARIE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "10303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.